The VBAC Link

Sabina is one of our VBAC-certified doulas from Canada and is sharing her peaceful FBA2C today. While free birth comes with its own risks and benefits, we know that many women feel drawn to this option when they have no support or do not feel safe birthing any other way as Sabina did. We want to share all types of births after Cesarean and honor all stories! The way Sabina trusted in her body and in the physiological birth process after a traumatic experience with HELLP syndrome is truly inspiring. Among the many important messages from this episode, Meagan says: “If you are a provider listening and you perform C-sections, please, please hear what we are saying today. What you say to us while we are on the table in the most vulnerable position… impacts us. Every word that comes out of your mouth, please think about it. Please think about it because it impacts us…I’m getting emotional because I remember my provider talking crap like that and saying things like that. It impacts us longer than you will ever, ever know and it will impact us for every future birth. Please, providers. Please, please, please from the bottom of my heart, I beg of you. Watch what you say to people.” The VBAC Link Blog: VBAC with PreeclampsiaNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello Women of Strength. It is Meagan and I’m so excited to be recording wtih you today. You’ve probably been listening all summer but I’ve actually not been in the recording studio all summer. I record up until May until my kids get out of school then I take June and July off so I can be with my kids and save you guys from the screaming and the dog barking and all of that in the background. It’s August and we are back in the studio and we have our friend, Sabina. Hello. Sabina: Hello. Meagan: I’m so excited to have her on today. You guys, she is one of our VBAC-certified doulas which is so exciting. She is also a mama of three. She is a FBA2C. Okay, you guys. F is a new one. We haven’t been sharing a lot of F. We’ve had H and V and breech B so what does F stand for?Sabina: F stands for free birth which means I did not have any kind of provider with me during my pregnancy or during my birth. I just did it all by myself. Meagan: Yep, you did. Sometimes I feel like it’s a mother-led pregnancy. Sabina: Yes. Yes. Meagan: This is something. We’ve talked about this a little bit before we got recording. The world, when we look at free birth, frowns deeply upon it. It’s not for everyone. Sabina: No. Meagan: That’s why a good majority doesn’t. However, I think it’s important to share these free birth stories. They are still beautiful stories and it doesn’t mean because you didn’t have a provider that your story doesn’t deserve to be heard, right?Sabina: Right. Meagan: I think that it’s also important to talk a little bit about the fact that so many people are not getting the support. You’re going to tell us a little bit more about why you chose free birth, but the world as we know it is not VBAC-supportive in many ways, in most ways. Sabina: Still. Meagan: Yeah, as we know. You are in Canada, right?Sabina: Yep. Meagan: We know that there are some hurdles there too. Even here in Utah, over the last 10 years of me being a doula and having babies of my own, I’ve watched the VBAC support wane and actually wane in the less-ideal way which is really unfortunate. We have a lot of people who try. They try and find the support. They try and get what they deserve. You deserve support. Women of Strength, no matter who you are or where you are, you deserve support. Most people who choose to free birth ran out of those options and decide that they are still going to do what’s best for them. That is what Sabina did and I’m excited for her to share her stories. In addition to free birth, we have some other little things in there. HELLP syndrome, if you’ve ever heard of HELLP syndrome you guys, or if you haven’t ever heard of HELLP syndrome, we’re going to talk more about that and what that looks like, the symptoms and things like that, and what it could mean. Then larger babies and then yeah, I want to talk a little bit more about VBAC doulas too because we love our VBAC doulas. I don’t know. Are you serving right now? Sabina: I am, yeah. Meagan: You have a new babe, but you are. Okay, if you are in Canada– and where are you again?Sabina: I’m in Ottawa. Meagan: Ottawa. Okay, you guys, give her a call. You can find her on our website at thevbaclink.com/findadoula. Sabina: I don’t have a website but my Instagram is @letsdoulathisvbac. Meagan: Let’s doula this. We will make sure to tag her so just go to today’s Instagram or Facebook and find her. We do have a Review of the Week so we will jump into that and then get into your beautiful stories. This review is by mitaya. I don’t know. I think it’s probably an abbreviation. I don’t know. Maybe it’s a name but it says, “I vote this place on over the speaker in every OB/GYN office.” I love that. It says, “I cannot even begin to describe what an encouragement these podcasts have been for me. I have completely binged on these in the past few weeks and they have grown my confidence for my up and coming baby. I cannot stop sharing everything I am learning and even helping to encourage first-time moms on how to educate themselves to avoid a Cesarean in the first place.” Ding, ding, ding. We’re actually going to have an episode about that, y’all. So if you’re ready to share an episode with a first-time mom, it’s coming up. “Thank you so much for this no-B.S., truth-declaring, and empowering platform that I know has encouraged so many more than just myself. Keep being amazing. I can’t wait to share our story in just a few short months. All of my love.”Thank you so much for your review and I hope that you had your VBAC and had a beautiful birth. If you are still listening with us, let us know. Give us a shoutout on my email or on Facebook or Instagram. Meagan: Okay, Ms. Sabina. Are you ready to dive in to these beautiful stories? Sabina: I am. Meagan: Let’s do it. Sabina: This is surreal because I’ve been picturing this whole pregnancy how I would talk about things if I was on the podcast. Every time I had a symptom, I thought about how I would say it on a podcast so it’s very cool to actually get to do it. Meagan: Tell us all of the things. Here you are. Sabina: Okay. I’ll start with my first birth. I was pregnant in 2019 and I had one appointment with an OB then realized it wasn’t for me. I switched to midwives and had a perfectly uncomplicated pregnancy. I’m very athletic so I was in shape working out the whole time. No symptoms of anything other than heartburn and some rib pain. We had midwives who were great and then around 41 weeks, actually on 41 weeks to the day, we had our ultrasound just to make sure everything was going well. When we got there, I started getting a lot of pain in my right side. Again, I had rib pain so I just brushed it off. It’s nothing. I had seen my midwives the day before and everything looked good. Blood pressure was fine. We were sitting in the waiting room and it just kept getting more and more uncomfortable. I started sweating and I asked my husband if we could just step outside for a bit then I remembered one of my friends saying that when she was in labor, she would put her arms around her husband and just dangle to open everything. I tried that hoping it would relieve some pressure and I just started panicking. My husband who was very naive at the time was like, “Oh, this is it. You’re in labor.” I was like, “No. This is not right. It’s not going away.” Meagan: Something’s off. Sabina: Something’s off. We went back in and I asked the receptionist if I could just go lie down. They brought me into a room and at this point, I couldn’t sit still. We called my midwife and she asked if I was prone to panic attacks and I said, “No, I’ve never had one.” They checked the baby and he was totally fine. But my midwife was like, “Okay, I’ll meet you at the hospital.” We called the ambulance and this is where it starts to get fuzzy. I was in shock. I couldn’t remember everything but we took an ambulance and the only reason we took an ambulance was because I thought they would help but they didn’t do anything. They just waited and took me to the hospital. I spent the ride on my hands and knees and when we got to the hospital, my blood pressure was 275/174. Again, we had just checked it the day before and it was totally normal, 121/80. My midwife was there and they asked if they could check my cervix just to see if it was a bizarre labor and I was barely a centimeter. I was still very posterior so nothing was really happening. I do remember my mom quickly poking her head in. My husband must have called her but then they were like, “Okay, let’s do a C-section.” I don’t remember a lot. I remember as soon as they gave me the epidural, I could relax. Everything just went away. I briefly remember seeing my husband and being like, “Oh my god. We’re going to have a baby.”I remember hearing him cry. They showed him to me the first time. I also had a cyst on one of my ovaries so they showed me that. It was kind of cool. Then in the recovery room, I very briefly remember trying to feed my son and then I told them that my vision was jumping around and I couldn’t focus so they handed him over to my husband and then I don’t remember anything else. Basically, they never treated my blood pressure. They just–Meagan: Wait, they didn’t do anything? They were just like, “We’ve got to get the baby out” type thing then they ignored the astronomically high blood pressure?Sabina: Yes. Meagan: Okay. Sabina: Even though the baby was fine because we had just had the ultrasound and checked everything, they completely neglected the blood pressure. Obviously, it dropped when I got the epidural because it gets rid of the pain so it goes down a bit. Later, I found out that they had

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

As a first-time mom, Katie was struggling with potty training and feeling like she didn’t know what she was doing. She later became a potty training consultant to help other struggling moms and now hosts the Burnt Pancakes podcast. Katie’s first birth was a scheduled breech Cesarean. Her second birth was a spontaneous 36-hour labor at 39 weeks and 1 day with 1.5 hours of pushing and a tough recovery from a 3rd-degree tear and labial adhesions.Katie wanted to go for a VBAC again with her third. Though she thought she would go into labor at 39 weeks spontaneously again, she actually ended up getting induced at 41 weeks. She got an epidural right at the end of her labor, but was able to push her third son out in just two pushes!Meagan and Katie talk about how pelvic floor physical therapy is necessary for both Cesarean and vaginal birth recoveries. No matter how long it’s been since you gave birth, it can still be a game-changer!Katie's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, welcome everybody. We have our friend, Katie, with us today sharing her 2VBAC stories and before we got started, we were talking about once you have that C-section and you’re contemplating having a VBAC and you talk to people and they’re like, “Wait, you can’t do that. Doctors won’t let you do that.” Right? Katie: Mhmm, yep. Meagan: But what have we learned? What have we learned over all the years? Yes, we can. Yes, you can. Women of Strength, if you are listening and you have had one C-section and you are wanting to know your options, we are going to share two stories today. Okay, so Katie– you guys, she is the host of a podcast. Is it Burnt Pancakes? Katie: Burnt Pancakes, yep. Meagan: Tell us more about that. Katie: Okay. So when I became a mom, my oldest son was potty training and it was an absolute disaster. That’s probably the point in motherhood I felt the absolute worst. He had a tendency to poop his pants whenever we were in my friend’s backyard running around and playing. One day, he had this awful mess. I was cleaning it up. I was frustrated. I was like, “Oh my gosh. He’s never going to get it.” My friend looked at me and was like, “Katie, don’t worry about it.” Everyone burns their first pancake. I was like, “That just made me feel so validated as a mom.” Fast forward about 8 years and I decided to start my own motherhood podcast and I named it “Burnt Pancakes” because we are all figuring out this thing as we go. Meagan: I love that so much. It’s so true.Katie: So true. I’m still figuring it out. Meagan: I know, every day. As soon as I feel like I’ve started figuring out motherhood and parenthood and all of that, it starts to change on me. Katie: Right. It throws you for a loop. Meagan: Right. If you can relate here, go listen to her podcast and it’s just called “Burnt Pancakes”. And you are everywhere, right? Katie: “Burnt Pancakes”. We have mom-versations each week. I love to chat with moms. One of my favorite things to do was meet a mom at a park and hit it off and start chatting. That’s what I wanted my podcast to feel like– real moms chatting about motherhood. Meagan: Real moms chatting about motherhood. Then maybe was the inspiration between that whole experience with your son what led to also potty training consulting? Katie: Correct. At the time, I was teaching. I taught for 17 years. It was potty training my first son which was an absolute disaster. But fast forward, I have two more kids. I potty trained them and things got easier. I started feeling very confident in my skills and people started asking me for tips. I decided to become a full-time potty training consultant so now I actually help moms with the potty training process which blows my mind because if you had asked me 8 years ago, “Would you be doing this?” I would have said, “Heck no. I have no clue what I’m doing.” But what I am doing is trying to help moms who are in the same shoes I was in. You can do this. I can help you get through it. I have the answers for you that I didn’t have back then. Meagan: Yep. That’s exactly how we are here at The VBAC Link. We were in the thick of it. It was a rocky journey. There were a lot of unknowns and if you asked me 8-9 years ago if I was going to be doing a podcast sharing VBAC stories, I probably wouldn’t have said yes. I would have been like, “Probably not,” and here we are inspiring and encouraging. Katie: Heck no. Meagan: I’m so excited for you. So tell us where people can find you for potty training because I’m sure a lot of people listening right now especially being pregnant, you probably have a toddler as you are preparing for your birth. Katie: Yes. You can find me at my website. My website is burntpancakes.com. On social media, you can find my potty training information at @itspottytime. Meagan: I love that. Thank you so much for sharing. Katie: Yeah. Meagan: I do have a Review of the Week to share before we get into these stories. Katie: Go for it. Meagan: This is by theblanchardbunch. It says, “Get PUMPED!!!” It says, “Listening to this podcast just gets me pumped. You’ve had a C-section and you want a VBAC. Absolutely. You’ve had two C-sections. You go for that VBAC. Oh, you’ve had three or four? Go get that VBAC, mama, because you are a queen and 100% capable. Seriously, this podcast not only informs you of all the amazing things our bodies can do but also, you are immediately welcomed into a space of understanding and love. Our bodies are powerful but sometimes we just need a little help becoming empowered. This podcast does just that. I’m preparing for my VBAC and I’m currently 36 weeks pregnant. I think that all the time what I’d say or share if I were on the podcast because I am so sure this VBAC is happening. Thank you to all of the mamas who have shared their stories and thank you to Julie and Meagan who have created a space for all of these mamas needing to be uplifted and empowered.” What a fun review. Katie: Aww, that’s amazing. Meagan: Oh my gosh. I love this. It’s in all caps right here. “GO GET THAT VBAC, MAMA, BECAUSE YOU ARE A QUEEN AND 100% CAPABLE.” I couldn’t agree more with theblanchardbunch. I hope that you got your VBAC. Congratulations on your birth and as always, if you have a review, I would love for you to share it. I read them every single week and they really do truly bring me all of the joy. Katie: I love that. Meagan: Okay, Ms. Katie. Let’s turn the time over to you. Let’s share these stories. Katie: Okay. Well, my story starts 10 years ago. It’s really hard to believe it’s been that long but I was pregnant with my first son and we got the news at 28ish weeks that he was breech which I at the time didn’t even know what that meant. It was just a regular appointment and my doctor just nonchalantly was like, “Oh, he’s head up. Okay, you’ll probably end up having a C-section.” Meagan: Whoa. Katie: I was like, “Come again?” First of all, what’s head up? I don’t know. Meagan: At 28 weeks? Katie: Yes. Yes. Crazy. She made it seem like no big deal but for me, it was. I’m a taller girl. I’m 5’9”. I’ve always had bigger hips, a nice pear shape so I always thought, One day, these hips are going to serve a purpose. When I’m giving birth, these things are going to come in handy. My instant thought was, My body is not going to be able to do that. How can you just drop that on me and not feel anything? She basically said, “Most babies won’t turn. There’s a chance he could turn but you might just end up having a C-section.” I was like, “Well, is there a chance? What’s this?” She’s like, “You can try something to turn him but that’s just the way it was.” Meagan: No offering of an ECV or anything like that in time? Katie: As the weeks went on, she mentioned it, but for her, she was like, “I’ve been doing this for years. Most of the time, I don’t see them turn.” She just made it seem like a C-section was totally cool and totally normal. I was like, “What? How can this be?” I did try almost everything to get him to turn. At the time, I was taking a yoga class. Side note– Drew Barrymore was in my yoga class. Looking at you right now, I’m like, “You look so much like her.”Meagan: I’ve been told that for so many years– Drew Barrymore and Winona Ryder. Apparently, those two people I look like. Katie: When you hopped on the call, I was like, “Oh my god. You look like Drew.” I tried to play it super cool because at the time, we were living in LA and I was like, “Oh my god, Drew Barrymore is right next to me.” She even said something to me like, “Hey, mama.” I tried to play it so cool.Anyway, in that yoga class, all the moms were like, “You need to go see this chiropractor. You need to try this.” They were super supportive so I did go see a chiropractor. I forget what they called the procedure but it was massaging your hip flexors really, really hard. I don’t know why that makes him turn. It was loosening some ligaments to make them turn. Meagan: Like your round ligaments and stuff? Katie: Yes. I believe that’s what it was. It was extremely painful and the chiropractor at the time was like, “You’re going to do great in birth because you have excellent pain tolerance.” I was like, “Okay, thank you.” He did not turn. At the time, there was a website called Spinning Babies. Meagan: There still is. Katie: Okay. I literally Googled everything to get him to turn. I lay on my couch with my hips up. I had my husband sing to me “Turn Around” over and over. I did everything. He did not turn so in April, they were like, “Okay, here’s your scheduled C-section appointment.” I at least had time to prepare for the C-section. It wasn’t an emergency. I took all the notes on tips to do to help recover and in that sense, I felt prepared and I got to be at peace with the fact that I wasn’t delivering vaginally. But it was still weird when they were like, “April 26th. That’s going to be the day when he comes in.” I’m like, “You’re picking his birthday. W

In today’s episode, Meg from Nebraska shares her Cesarean and VBAC story. Meg’s first birth was an unexpected Cesarean after an almost 40-hour induced labor at 41 weeks and 3 days due to failure to descend. Her pain was not managed well during her surgery and her experience was much more difficult than expected. Meg surprisingly found out she was pregnant just 9 months after her Cesarean. Though she was anxious, Meg decided to go for a VBAC. She found The VBAC Link, prepared her body and mind more than before, found a supportive provider, and hired a doula. At 41+3, Meg went in for a gentle induction. She trusted the outcome would be different and it was. With the help of her doula, Meg was able to move much more, and with the encouragement of her midwife, pushing was a much more successful experience this time around. Meg says that bringing her 9-pound, 14-ounce baby up to her chest was the sweetest and best moment. Asynclitic BabiesHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello everybody. Welcome to The VBAC Link. Today we are going to be sharing our friend, Meg’s, story. She is a stay-at-home mom in Omaha, Nebraska and she has a two-year-old daughter who was born after a post-date induction and almost 40-hour labor that ended in a Cesarean. Just 9 months later, she was blindsided by a positive pregnancy test and spent the duration of her pregnancy preparing mentally, spiritually, and physically for the birth of her son. She had a VBAC and she is here today to share her story with you. Some of the things along the way through her story that I thought stood out were one, post-dates. Obviously, this is something that we– if you have been here at The VBAC Link, you’ll know that we talk about this. Post-dates– we have seen such a shift over the last few years, well really since the ARRIVE trials in dates and we really see that now the 39-week mark is more true to a 40-week mark. The 40-week mark is more treated like a 41-week mark and it’s really starting to become rare to even have people go to that 41-week mark and especially past it. She’s going to be sharing her story with you today actually with both births that went past 41 weeks. They were actually both induced so we have an induction that turned Cesarean and an induction that ended in a VBAC. She also has that close duration– that 9 months later, 17 months apart. So if you are listening and you are one of those mamas who may have been pregnant by surprise or chosen to get pregnant sooner than the 24-month mark or even 18-month mark that many providers suggest, definitely listen up for this episode. She also has a larger baby. Her VBAC baby was larger than her Cesarean baby. She also has a failed epidural. There was something that she said in her story that I wanted to point out. That is after many, many, many attempts that were not going well with this epidural, she asked for the highest anesthesiologist there. That is something that you can do right from the get-go. If you are wanting an epidural, you can say, “Hey, I want to make sure I have the top anesthesiologist,” because sometimes it is harder for people to place an epidural or if after one attempt it’s not going really, really well, you can just say, “Okay. Stop. I want the head anesthesiologist.” Another thing that we are going to talk about in there is the question. She mentioned The VBAC Link blog that talks about the questions for your provider. If you have not checked this out yet and you are still looking for a provider, I highly suggest checking it out. We will make sure that the link is in the show notes so that you can see more about who you are looking for when it comes to support versus lack of support because if we have not learned anything over all of the years of supporting VBAC clients, our own VBAC journeys, and listening to story after story, that is that support is huge so make sure you find the best supportive provider that you can. Something I wanted to add to this is if you have a female provider, you may want to ask them about their births if they have kids. We have seen here in Utah that there are some providers who will just schedule a C-section. They won’t even go into labor and for some reason in my head, that feels like a red flag if a provider doesn’t even believe in birth and their own ability to birth. I don’t know that they are going to believe in other people’s ability to birth so that might be something to consider. Last of all, I want to talk about asynclitic. We have seen many asynclitic births over the year and a lot of the time, once a baby is recognized to be asynclitic, they are pretty low and it can be a little bit harder to get a baby rotated and into a more ideal position for a vaginal birth. I wanted to share some tips that are right here actually on Spinning Babies. Check out spinningbabies.com. You know we love them and we will have a link here in the show notes as well. Do pelvic floor releases and the side-lying releases. Something that is really, really cool about this story is she had her pelvic floor specialist who was also becoming a doula but she had her with her which is so cool. If you are seeing a pelvic floor specialist, I highly suggest asking them if they would be able to visit you during your labor or come and do an exam or treatment during your labor. Just like chiropractic care is a really, really great one to do during labor, so are pelvic floor releases. You want to follow that with the lunge. The lunge will help you work better with the pelvic floor and help that side-lying release become better engage. Doing the dangle should follow the pelvic floor release and the lunge. Again, Spinning Babies is phenomenal and they have all of these like the dangle, what that is, and the lunge and all of these things they have in the link. Make sure you check out this link. Sometimes resting and not pushing is going to really, really help because if we have an asynclitic baby and we are pushing and pushing and pushing, that can get the baby further down and more stuck in the asynclitic position. Something that I have seen work with my own clients is an abdominal lift. We will do an abdominal lift into that side-lying release. You reach your hand underneath your belly and you slowly reach. You pull up and in and it can help pull baby up and in. Vertical positions such as standing, slightly bending your knees during a surge and also that abdominal lift is more ideal during a contraction. Standing with one foot on a stool, we know that asymmetrical movements are really, really great. Even if you can’t stand, say you are in a bed or something like that, you can try on your hands and knees or even trying to lay down and try to make your hips asymmetrical that way. Sitting on a toilet with one foot on the stool and the other foot on the floor, pulling on a towel or a rebozo during a pushing contraction, shaking the apples, and keep moving. You’re going to notice in this story that is what they did. They just kept on moving. If you have had an asynclitic baby before or you are in labor and you find that your baby is asynclitic, jot these notes down. These are wonderful tips on how to get that baby out of that asynclitic position. All right, right before we jump into this story, I do have a Review of the Week. This one is from srmnewyork and it says, “Thank you, VBAC Link.” It says, “My first birth in 2018 was a traumatic home birth turned emergency C-section. I had done everything I was supposed to to avoid interventions and a C-section but ended up with all of it anyway. The whole experience was crushing and it took years to recover from. Listening to The VBAC Link was a huge part of my emotional processing. Hearing other women’s stories helped me feel less alone and gave me the courage to try again. When I became pregnant in 2022, I knew I had to do things differently. I took all of the advice I had gotten from The VBAC Link and put it all into action. I got a doula. I found a VBAC-supportive provider. I took the VBAC online course and was emotionally prepared and surrendered to the birth process. Well, just 12 days ago, I had my VBAC. It was amazing and left me euphoric for days. So much of my success I owe to this podcast. Thank you for helping me experience my dream birth. I am forever grateful.”That was left just about a year about a year ago so srmnewyork, if you are still with us, I just wanted to give you a huge virtual hug and huge congratulations. Thank you so much for sharing that amazing review. As always, if you have a moment, please press pause right now and leave us a review. We love them and love sharing them on the podcast. Meagan: Well, welcome, Meg, to the show. Thank you for being here with us. Meg: Yeah, it’s great to be here. Thanks, Meagan. Meagan: Oh my gosh. I’m so excited to talk about your story. I feel like two key things about your story are things that we see honestly on a daily basis in our inbox. That is, “I’m 40 weeks and my provider is telling me that I have to have a baby today,” so the post-date thing. Can we go over post-date? And then honestly, the stress surrounding the close duration of babies is insane for moms out there because these providers are just putting so much stress on these moms saying they can’t VBAC with a close duration and we know that studies vary, but I am excited to talk about your stories because you have a 17-month gap, right? Meg: Yes. Pretty tight, yep. Meagan: Okay, so we’ve got the post-date and 17-month gap. All right, let’s talk about baby number one. Meg: Absolutely, yeah. So with my daughter, we found out that we were pregnant just a couple of months after I had a miscarriage actually. So going into that pregnancy, I was already feeling just tender and raw and didn’t really know what to expect with how well the pregnancy would go. I did as much as I could to prepare. I took a birth class that a friend had recommended with a doula h

We have received so many messages and emails from you requesting more VBAMC stories and today, we are giving you just that. Susana joins us from Mexico sharing her VBAC story after five Cesareans!Each of Susana’s Cesarean experiences was unique in their own way, but the dream of a vaginal birth never left her heart. When she found a supportive midwife and doctor during her VBA5C pregnancy, Susana knew this was her chance to finally achieve that goal. With her husband by her side encouraging and supporting her, Susana powerfully pushed her baby out. The hospital staff and community buzzed with shock and amazement over what she had achieved!“That moment was unlike any other moment in my life.”ACOG Article: Dr. Angelica GloverEvidence-Based Birth: The Evidence on VBACNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength, this is the moment so many of you have been waiting for. We have a VBA5C so for anyone who doesn’t know what that means, it is a VBAC after 5 Cesarean story for you today. This has been requested so much. We received emails in our personal email. We have gotten it on social media saying, “Please, can we get some stories that have VBAC after more than 3 Cesareans?” We know so many people out there don’t know that this is an option or they know it’s an option but they don’t find the support or they can’t find the support. They are few and far between but we have our friend Susana today who is going to be sharing her VBA5C story. Welcome, Susana. How are you?Susana: Hi. Thank you so much for inviting me. I’m so excited. Meagan: Oh my gosh. I am so excited. Yes. I am so excited and you are in Mexico, correct? Is that where your VBAC was? Susana: I’m sorry? Meagan: Was your VBAC in Mexico?Susana: Yeah, but it was a very, very hard way. I’m going to share what I did. First of all, I can’t separate this way from my faith because I prayed so much for this and I trusted so much and also, I trusted so much in the process and in the body and those things But okay, I’m going to tell you what happened with me and why I had five C-sections. First of all, I got pregnant in 2009. My pregnancy went very healthily with no problems at all. I was 41+5 weeks and I had a doctor who was– well, he said he was for natural birth. I don’t know how to say it. He was pro-birth. Meagan: Yeah, that he’s pro. He’s supportive. Susana: Supportive. Yeah, that’s the word. But in reality, he was more C-section-supportive. While we were passing a very difficult part of our life because my father-in-law passed away exactly on my due date. We were very emotional and very sensitive. Labor wasn’t starting so the doctor said, “No, baby is not engaged. You are only 3 centimeters. I can say that baby is not going to birth naturally. I say that it is better for you to go directly to the C-section.” I was disappointed because I was walking so much every day, but for the situation for my husband and all of the family, I accepted. We went to the C-section. I got pregnant again in 2010 8 months later and I was very excited to now get a VBAC. The doctor said he wasn’t going to support me but in the end, I had a TOLAC, a trial. I was progressing well. I was 5 centimeters when I went to the hospital and the doctor was a little bit nervous because the C-section that I had before was one year and five months before so he was like, “You have to be fast because we have the risk of uterine rupture.” He started to make an impression on me and I was starting to be stressed. After 5 hours I think, he said, “Baby is not getting down. You are still at 5 and we are going to the C-section again.” I cried a lot and my husband said, “We tried and we can’t do this anymore. It can be dangerous. Go to the C-section.” It was very traumatic because they put in the epidural and it only worked in half of my body. I started to scream, “No, please. No. I can feel everything.” They put the epidural in again. It was difficult. Then I got pregnant again in 2012 but I didn’t fight anymore. I decided for a repeat C-section. The good part is that it was peaceful because I was accepting the situation. Everything went well. Then I got pregnant in 2013. Also, we were going to opt for a C-section because I didn’t have any other chance but the doctor started saying, “No more babies. Four C-sections is a thing,” and things like that but my husband and I were talking about it and we thought that it wasn’t an option for us to have– I don’t remember the word. Tying the tubes. Meagan: Oh yeah, a tubal. Susana: Yes. The sterilization. So we went to a repeat C-section. It wasn’t as smooth as the one before because my baby was 37.5 weeks so we had a little problem with maturity. Is that the word? She was very small. Meagan: She was technically preterm. Susana: Yeah. Preterm. She showed signs of preterm. She was whimpering and something like that. We had to go to the neurospecialist. Everything was going well and there was no problem at all, but we were careful for another pregnancy. We waited a lot and we got pregnant again in 2017. I spent the half of my pregnancy with the same doctor, but at half of the pregnancy when I was 20 weeks, some friend told me, “Oh, you know what? There is a mom in Brazil who had a VBAC after four C-sections.” I was like, “What?” I didn’t know that existed. I started to inform myself and I found a supportive midwife but she said, “We aren’t going to chance it to go to the hospital. We have to have the birth in your house.” We prepared everything for the home birth and the bad thing is that I was anxious at 39 weeks and had prodromal labor. I passed the due date. I was 41 and 42 and then 42.5 weeks so stress started to play a role here. I started labor but I passed three days in labor so that was really, really hard. I passed two days at 5 centimeters dilation. Then my midwife said, “I don’t know what has happened. I think we can’t wait anymore. You have to go to the hospital. Baby is good.” The heart rate was optimal but I didn’t know what to do anymore. We went to the hospital. It was the only public hospital. Oh, the doctors were freaking out like, “What are you doing? Come on. You have to get the C-section 2 weeks before.” I suffered very, very much obstetric violence. It was very traumatic. Baby was very low. I was at 8 centimeters when I got to the hospital. I was begging for them to let me try and let me push but they said, “No. You are crazy. We have to go to the C-section right, right now.” When they pulled baby out, they broke the uterine artery and I lost a lot of blood. I was very weak and it was very painful. That was a disaster. We were like, “No more babies I think”, but by the grace of God, I got pregnant again in 2021. Sadly, I had a miscarriage on Christmas actually. It was very sad. But I don’t know. That miscarriage let me know that my body works and that I would be able to have good contractions and my body was able to give birth. I prayed, “God, if you want, I want another baby.” In November of 2022, I got pregnant again and that time, I was totally strong to fight for another try to have a vaginal birth. My husband was totally against the trying. He was so scared. Also, I was a little bit scared, but I was trusting at that time. I was trusting so hard. I was praying so hard. I decided to not go to the doctor because I was so scared of the doctor. I was hesitant. I don’t know why I didn’t want to hear, “You are in danger. No. This is so dangerous. You can’t try. You have to go directly at 38 weeks to the C-section and you have to have a blood transfusion and you are of advanced maternal age,” because I am 41 years old, but I don’t know. I said, “I don’t want that in my pregnancy.” Actually, I had a friend who had seven C-sections and then had four home births. She was telling me, “No. Trust God. You have to know when they talk from fear and when they talk from the truth.” I could tell that a lot of people were speaking to me from the fear they felt, not from the truth. I stayed with that doctor until 28 weeks. I found a doctor who wasn’t judging me and who was open but he didn’t have experience with VBAC after multiple C-sections so he said, “I can check you and support you but not in the birth. I can’t do that. I have no experience.” Well, for me, it was like, “Oh, I’m at the beginning of the way.” Okay, so I kept praying and when I was 34 or 35 weeks in the pregnancy, I had a doula who gave me a contact of a midwife that she was supporting VBAC after three C-sections in a hospital with a doctor. I said, “Maybe there’s a chance for me.” I contacted her. I talked to her and she was very optimistic. She said, “Yeah. Of course. I can support you. We can prepare a home birth. I can support you. I can be your attendant.” I don’t know the word. Meagan: Maybe advocate? Susana: Not advocate. I mean, she was the one who received the baby. Meagan: Oh, like catching. Yeah, attending. Susana: Yeah, attending the birth. But my husband was like, “No, not a chance.” Because for my husband and also for me, it was very difficult and not secure. We were scared. We thought about what if something happened. That midwife told me, “I can speak with the doctor and maybe we can have a plan.” I said, “Okay.” I was 36 weeks so it could be difficult that he started to attend me in these late weeks. But I still had trust and confidence in God. I kept praying all of the time. One day, she called me and said, “Susana, good news. The doctor said yes. I told him all of the truths. I didn’t hide anything and he said, ‘Okay. If you are with me, I can attend this birth. But I need to watch her in the next days.’” So we went to the doctor. The doctor was in another city 40 minutes to an hour away from here. My husband couldn’t be with me so my parents went with me. My parents were so scared. Meagan: I bet. Meagan: They were very against trying. My husband wasn’t completely confident about it. All of my

“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

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

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 wa

Women of Strength, we have a truly inspiring story for you today! Ashley joins us from the Liverpool/Sydney area in Australia and shares her VBAC with an inverted T special scar and extension story. During her first Cesarean, Ashley’s OB mentioned that she had only performed that kind of incision one other time in her entire career and that Ashley would never have a vaginal birth.Ashley did not find out the actual circumstances around her first Cesarean until she requested her operative notes during her second pregnancy. In spite of what she was told, her heart longed for a VBAC. She committed to doing all she could to try and find a VBAC-supportive provider as long as it was medically safe to do so. Ashley went into spontaneous labor and utilized the tools available to help her baby rotate from a posterior position. She and her provider both stayed patient, trusted the process, and after pushing for 20 minutes, her baby girl was earthside!Special Scars, Special Hope Facebook GroupThe VBAC Link Blog: Special Scars, Special HopeHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. How are you today? I hope you are doing amazing. We have our friend, Ashley, with us today and you guys, she is from Australia. It has been so crazy. I don’t know why I cannot understand time. We were talking about how we literally had to Google, “What time will it be in Australia if it’s this time in Utah?” It was such a challenge to get this scheduled but I’m so grateful for Ashley for taking the time out of her Monday morning recording with us today so welcome, Ashley. Thank you for being here. Ashley: Thank you so much for having me on. Like I was saying to you before, The VBAC Link was so invaluable to me with all of the research and the statistics and just trying to hear other people’s stories to help me change my mindset to get through it so I’m really excited to add to that with my story as well. Meagan: Me too. Your story has a little extra tidbit to it. Something that we know happens because we’ve got lots of stories on them as well. We actually haven’t had one for a few minutes and yours is a special scar. You had an inverted T with an extension. Do you want to share with our listeners exactly what that means? We’ve had some J scars. There are all different special scars. An extension we know goes past the initial cut or incision. But tell us about the T. Ashley: Yeah, so I actually only found out after the surgery that it was an inverted T but I didn’t know what that entailed so I had to do a bit of my own research especially when I fell pregnant the second time to know what was involved with that. Yeah, it was really scary just to see that I had a vertical cut in the middle. Obviously, you’ve got your normal horizontal cut–Meagan: Low transverse, yep. Ashley: Yeah, that’s right and then through the center going vertically I had a 3-centimeter cut which was obviously riskier. A lot of providers said no to me when I started to look into it when I was pregnant the second time and started to have a look to get somebody to take me on. Even the public hospital that I had originally gone to with my son actually said, “No, you will have to have a Cesarean if you come through us.” In Australia, they can’t really say no to you in a public hospital if that’s what your wishes are, but I wanted somebody who was going to be supportive of me and the whole journey. So yeah. That’s where I come to going private instead and having an obstetrician this time which I know is quite rare with VBACs. You find a lot of people who won’t take you on. I had a really amazing experience if anyone is listening from Sydney. I’m in Liverpool and my provider was Brian Hollis and he’s extremely VBAC friendly. He was amazing. He had actually somebody with an inverted T before. Meagan: Really? Okay, so he had also seen one. Definitely there are so many providers out there who do support VBAC and then they have a special scar patient come in and they are like, “I really like VBAC but I don’t know. I’ve never seen this before.” But we know it exists so I can’t wait for you to share more in your story and about him maybe because we know it’s so hard. It’s so hard to find these providers. It’s hard enough to just find a VBAC-supportive provider in general and then that’s something unique that Australia does that at least here in Utah we don’t do with the private and public. We just have this hospital and then we have the birth centers and then we have the home births. There is not the dramatic difference in the hospital system like in your case. Okay. Oh my gosh. I’m so excited to dive it. I do have a Review of the Week. I’m so excited that I’m talking so fast. I do have a Review of the Week and then we’ll get into those stories. Like you said, you didn’t find out until after. That’s is the case so many times. They don’t even say during. We’ll go into this as well if they went into why but sometimes there’s not even a clear answer to, Okay, I now have this different, unique scar but why? We’re going to get into that. We have this review from xxooxx and it says, “Informative, supportive, and empowering.” It says, “After having a C-section that I certainly did not want and that I did not know was not necessary, I knew nothing about VBACs. I had dove head-first into this podcast and on top of learning so much, I became informed and empowered to get my VBAC which I got. Thank you, Julie and Meagan, for loving your listeners and pouring your knowledge and support into us. What you do matters and I will always recommend The VBAC Link.”Well, thank you, xxooxx, for that amazing review. Congratulations on your VBAC and I couldn’t agree more. This podcast really is so empowering and so informative like you were even just saying. I think a lot of this comes from the storytellers and the moms and the Women of Strength. This is just so amazing. I definitely suggest sharing this podcast to anybody. If they’re not a VBAC mom, if they’re a first-time mom or a second-time mom, I definitely suggest that because I truly believe that the stories on this podcast will help people avoid a Cesarean in general. Meagan: Okay, cute Ashley. You found out after so how did this first birth lead up to this inverted T with an extension? Ashley: Yeah, so I guess my story starts in 2020. I had a low-risk pregnancy and other than being sick the whole time but giving birth in March 2021 with my son and it was super traumatic. It took a long time to heal physically and mentally from it but my waters broke on their own two days before my due date. I had gone into the public hospital I was booked in for. I had seen the same midwife the whole pregnancy which was really fantastic. Midwives are amazing and just empowering telling a first-time mom, “You can do this.” I had no signs that anything would be wrong. So as usual, I went back home and then the contractions started that night. They started to really ramp up and become heavier so that night at about midnight or so, I tried to get some sleep. I wanted to stay home as long as possible. At 3:30 AM, I had to go to the hospital. I was just beyond. The pain in my back was just– yeah. I didn’t know if this was normal but in the end, when I got to the hospital, I was only 3 centimeters dilated. I had used the gas and the TENS to get through the contractions but he was posterior which I was nervous about. I didn’t know as many things as I knew in the second pregnancy in terms of Spinning Babies and trying to get into good positioning. With my son, I don’t know how it happened but he was posterior and the pain was just unbearable. Meagan: And it happens. We learn through pelvic dynamic courses and things that sometimes really truly, babies have to enter in a posterior position before they get into an anterior position and sometimes that means back labor. It is very, very intense. It really is intense. Ashley: Yeah. Yeah, it was. At this point, it went on for a few hours and I just actually couldn’t deal with it anymore so I had the epidural which turned out to be quite a good thing for me. It was relieving of some of that back pain but I still had felt a lot of it through it so it’s almost like it didn’t seem to work as much as I thought it would at that point. The contractions through my back were still there. We tried to do some things before I had the epidural to get into a better position, but it wasn’t working for me. Every contraction, my son’s heart rate would drop and the midwife was really good in just letting me keep going. “Let’s see. Let’s see.” But as soon as the doctor on call knew that it had been quite a few hours came into check me, “You’ve got meconium in your waters. You have to have a Cesarean.” I was just devastated because I had really thought that this was just going to be a great, empowering birth. I was so excited to give birth and to hear that it wasn’t going to go the way that I had intended, I was devastated and crying. But yeah, he was in a compound position as well so he did have his hand up past his head. There were a few things going against me in that time. But despite all of this, they gave me a little bit more time to keep going and I did get to 9 centimeters. I was in a position where they thought, “Okay.” My midwife was pushing, “Let’s try. Let’s try and see if she can continue and maybe we can try some repositioning to get him out,” but the doctor was, “No. Cesarean. There is meconium in the waters. Let’s get him out.” I was so exhausted. It had been 34 hours from the time my waters broke and I just gave in. When I was in that vulnerable position of just so much pain and didn’t know any better, I just said, “Okay, I’ll give in and I’ll have the Cesarean.” During the Cesarean preparing, I heard the surgeon say to her assistant, “She’s 9 centimeters,” and explaining it and the assistant said, “Should we just see? The head is almost there.” There was a li

Grace found The VBAC Link Podcast while still in the hospital after her first unexpected C-section. Her recovery was brutal and she knew she never wanted to experience that again. Grace is a labor and delivery nurse located on the Wisconsin/Illinois border. She shares what it was like preparing for her VBAC while working at a hospital that didn’t support VBAC. Though she found a supportive practice, Grace faced unexpected pressure for interventions at the end of her pregnancy. Ultimately, she advocated her VBAC wishes and they continued to support her.When she contracted a fever and her baby had prolonged heart decels at 10 centimeters, Grace was prepped and wheeled to the OR. She mentally surrendered to the idea of another C-section. But when baby’s heart recovered, she was encouraged to keep pushing! Her baby boy came out in just four pushes and Grace was able to achieve the VBAC she so deeply desired. The VBAC Link Blog: Finding a VBAC-supportive ProviderThe VBAC Link Blog: 10 Signs to Switch Your ProviderThe VBAC Link Blog: VBAC vs Repeat C-sectionHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength, we’ve got a VBAC story coming your way today. We’ve got our friend, Grace. Where are you? Illinois? Grace: Yep. I’m right in between Milwaukee and Chicago right on the Wisconsin/Illinois border. Meagan: Okay, awesome. Well welcome to the show and she does have a little babe right now with her. How old is your baby?Grace: He just turned a month old yesterday. Meagan: A month old and this is your VBAC baby. Grace: Yep. There he is. The man himself. Meagan: This is so fresh. Oh my gosh. I love when we get fresh stories. I feel like you’re probably still even processing as you tell your story. Grace: Yep. I am. I practiced a couple times to make sure I didn’t leave out important details. Meagan: Well, we are so excited to have you on the show. We do have a Review of the Week and then we’re going to get into your stories and then we’re going to talk a little bit about when the odds are stacked against you at the end and then spoiler alert, Grace is a labor and delivery nurse so I’m going to ask her some questions about how it is to be a labor and delivery nurse and supporting VBAC in her community. Okay, so we have this review. Its title is, “Tears plus stories plus hope plus joy equals education.” It says, “I discovered these ladies when I was 9 months postpartum from a very traumatic section and was eagerly beginning to research how to heal and build a new birth team for when my second baby came along. Now just a few months later, I’ve listened to almost all of the episodes and I hear the joy and the redemption these mamas have when they are in control of their births. It spurs me on towards my goal of one day having a successful VBAC. I cry when they cry. I feel joy when they feel joy. I feel sadness when they feel sadness and encouragement and elation when they succeed. It’s been quite the therapeutic discovery and I’m so glad Julie and Meagan created this resource. Each time Meagan or Julie directly addresses the audience as Women of Strength, I get goosebumps and I know in my heart I AM and WILL BE that woman of strength. I hope to one day share my version of success within this community.” That just gave me the chills so I’m just going to add tears plus stories plus hope plus joy plus chills equals education to that one. Thank you so much for your review. If you have not done so, as always, we would love them and you never know, you may just be read on the next podcast. Meagan: Okay, cute Grace. Grace: Hello. Meagan: Welcome, welcome. Let’s get going into your stories. Grace: Okay, so first of all, thank you for having me. This is amazing. I’m glad I had a VBAC but it’s even cooler that I get to be on the podcast. For my first pregnancy, I had just missed my first period so I took the test and was positive. I called my doctor and scheduled an appointment. I was about 6 weeks. At this appointment,  my doctor started calculating my due date with his little due date calculator and said, “Okay, it’s about May 26th. I’m going to induce you May 24th,” right off the bat. He decided we were going to be an induction. He said, “Since you are a first-time mom, it will reduce your risk of having to have a C-section if we schedule an induction.” I later found out he was actually just going to be out of town on Memorial Day weekend so he was pre-planning that for himself. But I didn’t know any better. I was like, “Okay, cool. I’ll know when I’m having the baby. I won’t have to worry about going into labor or anything.” Pregnancy went by with no complications. It was nice and smooth. At 39 weeks, he addressed again that we would be going in for an induction but he would just do the Cervadil. I went in that morning and they placed the Cervadil and told me, “Don’t move. Lay as flat as you can. You can only get up to go to the bathroom,” which is not true.Meagan: Hashtag false. Grace: I lay there all day. They take the Cervadil out and it didn’t do much for me. I wasn’t favorable in the first place. I was closed, thick, high, and then he checked me after the Cervadil and said the same thing. Actually, he told me that he’s never done this before but he’s just going to discharge me. He didn’t want to start anything else or doing anything. I appreciate him not just pushing Pitocin when he didn’t think it was going to be a good idea. We left feeling super discouraged because we told everyone we were going to have a baby and then we were going home. He said, “Come in a week later if I don’t go into labor naturally. Just come in and we’ll try again.” So I didn’t. We went in the following week. They put in the Cervadil again. They actually did two rounds of it this time and this time we didn’t tell anybody we were going to the hospital. We just didn’t want the, “Is the baby here yet?” and all of those questions adding to the anxiety of being in labor. So they took the second round of Cervadil out and still didn’t really have any change. I wasn’t contracting or cramping or anything but they just let me stay there. I ended up going into labor naturally which I don’t have the statistic verified but he told me that only 20% of people will go into labor with Cervadil alone. Most people need Pitocin or something else and some other intervention to actually cause labor. But my labor started. Again, he didn’t give me Pitocin which again, I’m grateful for. I was contracting all day. I have a pretty low pain tolerance so I had requested something for pain. They gave me an IV pain medication that I didn’t really like. It worked for a little bit but also made me feel a little strange.The nurses were like, “Okay, instead of getting more of the pain medicine, we recommend that you get the epidural.” This was about 12 hours after the contractions started.” I did get the epidural. I was still only a 1 at this point. They checked me after the epidural and he broke my water without really telling me that that’s what was happening. It just kind of happened. He broke my water and then I pretty much immediately went to 5 centimeters after he did that within the hour. I was like, “Okay, cool. It’s finally happening. I’m at 5 centimeters. I don’t feel any pain from the contractions. I have this epidural that’s working maybe even too good,” because I couldn’t even wiggle my toes but baby’s heart rate started dropping. This was a back and forth, “Are we going to have a C-section? No. Just kidding. You’re fine. You can push later on. You’ll dilate about a centimeter an hour,” is what they told me. But then they also had me come in and sign a consent form for a C-section. They put oxygen on me and repositioned me a little bit then they just called the C-section. We went to the OR that I had not even toured during our hospital tour because I was like, “I don’t need to see that. I won’t need a C-section so I don’t need to see what the OR looks like,” but then I ended up in there. My husband was in the hallway waiting to come in and the anesthesiologist was super supportive. She could tell I was losing it. They brought him in and the procedure itself went fine. There were no complications. Baby came out healthy. She had a cord wrapped around her foot twice which the doctor said he thinks maybe was why she didn’t come down, but I’m not sure. They took her over to the warmer and did all of her checks and everything. It felt like she was over there forever. Then they brought her swaddled over to me. We did the little cheek-to-cheek skin-to-skin. We got our classic C-section family photo on the OR table with our scrub hats on and then my husband and daughter left the room and they finished putting me back together. Then they took me to recovery which I was in there by myself. I had really bad shakes from the hormones or epidural. I’m not sure but I was shaking like crazy. That felt like I was in there forever by myself and then they finally brought her to me. She latched right away so at least I got to breastfeed her but we completely missed our golden hour. Meagan: Yeah, and you were let alone. Grace: Yeah, I was alone. Meagan: In a very scary time. Grace: Yes. The nurse wasn’t really talking to me. She was charting and stuff which I get that you’ve got to chart but I felt very alone in this recovery room. All that being said, everything did go okay. It still did not feel great that I had to have a C-section instead of my planned birth. I had my birth plan and everything. The next morning, the doctor did come in and he told me that for my next baby, I would have to have a C-section. He was like, “You can do all of the research that you want and the statistics are small, but I still would not let you have a trial of labor. You would be an automatic C-section.” Meagan: Did he actually say, “The statistics say this but for you, no.” Grace: No, it wasn’t just me. That’s how he practiced. Meagan: He just doesn

With her first birth, Amy hired a doula and planned to birth at a birth center. During labor, her baby kept having late heart decels which led to transferring to the hospital. At the hospital, Amy stalled at 9.5 centimeters. Baby was having a hard time descending and continued having decels. Amy chose to have a Cesarean and while she was at peace with the experience, she knew she wanted another chance at a vaginal birth. Amy proactively prepared for her VBAC by educating herself and working with her provider to find common ground. Her labor progressed well, Amy coped beautifully, and was able to push out her 10-pound baby! Amy talks about how recovering from birth can be difficult no matter what type of birth you have. Our VBAC Link Doula, Desiree, joins as Meagan’s co-host and touches on the importance of breathwork. As a licensed therapist, Amy also talks about how she uses breathwork with her own clients. “Practice it before you are in labor because then it’s easier to do while you’re in labor.”Desiree's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, Women of Strength. It is an amazing day to listen to another VBAC story. We have our friend, Amy, from Massachusetts coming your way sharing her VBAC story with you. Then we have one of our VBAC Link doulas, Desiree, with us as well. Welcome, ladies. Desiree: Hi.Amy: Thank you. Meagan: Hello. Thank you so much for being with me today. We do have that Review of the Week so I’m going to actually turn the time over to Desiree and read that. Desiree: Yeah, so the Review of the Week this week is provided by Ashley on the VBAC Doula course which I am very familiar with. I am so excited to read this one. Ashley says, “TOLAC/VBACs should be treated just like any other birthing person but there is certain preparation and information that needs to be offered to them. Your course covered that. The value is held in your careful recognition of how to best support our clients who are doing a TOLAC. I cannot praise you two enough for the fear-release activity. Honestly, it is something I can apply to even myself before and after birth and even in life in general. Thank you for that. It has already helped three of my VBAC clients.” Meagan: Oh, that’s amazing. That just gave me the chills. I love that. Fear release is so important. Women of Strength, if you are listening, we have that in our course because we truly believe in it. I think fear release in anything in life. We could just be scared to go in and take a test and fear release of that. But when it comes to birth specifically, I don’t know if both of you would agree, but we’ve got to do some fear releases and let go and also process the past, right? Desiree: Absolutely. Yes. I would say it’s good for everybody going into birth, but definitely, if you’re a VBAC or going for a TOLAC because you take your previous birth experiences into the room with you and if you haven’t done the work, then you are just setting yourself up for roadblocks. Meagan: It’s so true. I will admit that I did fear releases and I did lots of processing and I still had little bits of bouts of roadblocks in my VBA2C birth. That was really hard, but I was so grateful for the knowledge of how to do that fear release and work through it in those moments in my labor and because I had already done so much beforehand, the little roadblocks that were there even though they were roadblocks, I was able to get through them so much faster and more efficiently. Okay, Ms. Amy. Thank you so much for joining us. Amy: Sure. Meagan: Yes. We would love to turn the time over to you. Amy: Okay. So I actually gave birth to my two kids and then I gave birth in two different states. My C-section story was from when I lived in Massachusetts then I moved back to Minnesota and had my son which was my VBAC and now we are back in Massachusetts. Yeah, so with my daughter, I hired a doula. I gave birth and wanted to give birth at a birthing center that was outside of the hospital but it was connected to the hospital system but it was run by midwives and more holistic, more of what I was aiming for. Just like with your first births, you have all of the plans and I think partly that is some anxiety mitigation of if I feel like I have a plan then maybe I know what to expect. I worked with a really amazing doula. We didn’t take a birthing class through the hospital. She did that education and I was feeling relatively prepared as much as you can with a first birth. I had a week’s worth of prodromal labor. I always am very cautious. I always call it prodromal labor because I feel like the term false labor is so demoralizing when you’re in it like this isn’t real labor and I’m like, No, it is. It just isn’t progressing the way I want it to. Meagan: Well, but it’s still your body working. I think that’s what a lot of the time we forget. It’s not progressing the way we want but our body is still very much working and making progress behind the scenes whether or not a number of centimeters or a number of effacement is reflecting. We are still doing work and making progress. Amy: Yes, exactly. But my prodromal labor liked to happen only at night so I was going off of probably three or four nights of really not sleeping through the night. Again, as a first-time mom, I didn’t really know. I was up with adrenaline because I didn’t really know 100% what I was experiencing. I did stop going to work. I was going to work up until labor and then I just stopped going to work the last couple of days because I was like, I’m not sleeping. I’m stressed and tired.I went into labor the night before my daughter’s due date and felt the contractions getting a little bit stronger around 10:30. I went to bed. I woke up around 12:30 and told my husband, “Okay, I think this is really actually happening now.” We labored through the night. At 4:00 AM, I called my doula. We met up at the birth center. I was already 6 centimeters. I was obviously so thrilled about that. I was like, “We’re going to have this baby by mid-morning. It’s going to be great.” Then they started checking her heartbeat. From the beginning, she was having a lot of decels and they kept monitoring it, monitoring it, and monitoring it for 20 minutes which again, wasn’t really the plan that I was going to be sitting in bed monitoring her heart rate the whole time. I wanted to be up and moving around but they just couldn’t get her heart rate to stabilize at that point so they moved me over to the hospital then. It’s a birth center but they are across the street from the hospital so they literally put me into a wheelchair and rolled me across the road. That’s when all of the interventions started. From there, I progressed I think to about 8 centimeters but she was having those decels off and on the whole time. Then I think we ended up getting an epidural. I wasn’t planning to but I got an epidural about that time. I don’t know what time of day this was, maybe noon just because it had been a while now. I was tired and they were like, “Maybe if you rest a little bit, we can get her into a better position or something.” Really, what ended up happening was because of her decels, they wanted me to be on continuous monitoring which made it so I couldn’t move around as much because the nurse didn’t know how to apply the wireless ones. That happened so it was just one thing after another and my doula was great. She was really supportive. We did try a few different positions, but it was like every time I got in a position that felt good, they were like, “Oh no, we lost her heartbeat. We have to have you move again.” I think the process was frustrating. I did get the epidural. I got all the way to 9.5 centimeters dilated and then we just sort of stalled. And then of course probably around 5:00, this had been close to 20 hours of labor and they were like, “Yeah, I don’t know. We could try a few more positions but I think this is just going to keep happening and now we are worried that she’s going to get distressed.” So it wasn’t really an emergency C-section at all. They were like, “Here’s what we think. We’ll give you a few minutes to talk about it with your husband and doula and see what you guys think.” It was definitely hard. I was discouraged and frustrated by that but at that point, I just wanted her out. Now that I’ve read, and when I was listening to The VBAC Link and listening to so many other stories where we probably could have given it more time and all of these other things, they did a C-section and they actually found that her umbilical cord was wrapped around her neck twice. She never really descended into the birth canal fully. She never really engaged in my pelvis. Part of me wonders if it was partly that where she had that umbilical cord and that was going to be tough for her through the birth canal. I don’t really know. But she was healthy and everything was good. I honestly didn’t feel super traumatized by that experience but obviously I wish it had gone a different way. That was my first birth and then about two years later, well, my daughter was 2.5 when I got pregnant with my son. I was the middle of the pandemic. It was 2020. Is that when I got pregnant? Yeah. It was the fall of 2020. I definitely started looking into VBAC and found your podcast and was like, I would like to really try for a vaginal birth this time around. I think what was challenging about that and as you are talking about going in with fear is that I felt like even though it was my second baby, I felt like I was going through the process like a first birth because I never pushed. I never got to that point with my daughter so I felt like I had that anxiety almost like I was going into my first birth again. That was hard for me, I think, mentally. But we had moved to Minnesota at that point so unfortunately, I didn’t get to use the same doula that I had before. I found another doula and I think she had a

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 r

“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 bo

Women of Strength, how many of you have “failure to progress” on your operative report as the reason for your Cesarean(s)? Meagan and Julie talk ALL about failure to progress today– how it led to their own Cesareans and how after breaking it down, they both realized that neither of them actually qualified for that label. When is it failure to progress and when is it failure to wait? What does failure to progress actually mean? This is an episode you will want to listen to over and over again. From learning all of the ways a cervix changes other than just dilation to all of the possible positions you can try during a lull in labor, Meagan and Julie share invaluable current research and personal experiences on this hot topic! ACOG Article: Limiting Interventions During Labor and BirthAJOG Article: Safe Prevention of a Primary Cesarean DeliveryThe Journal of Perinatal Education: Preventing a Primary CesareanOBG Project ArticleThe VBAC Link Blog: Failure to ProgressHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. I am with Julie today and we are going to be talking about failure to progress. If you have been diagnosed with failure to progress– and I say diagnosed because they actually put them on our op reports like it’s a diagnosis of failure of progress meaning our cervix does not know what to do. It cannot make it to 10 centimeters or it hasn’t or it will not in the future, then I am telling you right now that this is definitely a great episode for you. Even if you haven’t been told, it’s going to be a great episode because we are going to talk about some other great things in the end about what to do in labor position-wise and all of the things. So we’re going to get going, but Julie apparently has a Review of the Week. We weren’t going to do one, but she says she has a Review of the Week. So, Julie? I will turn the time over to you. Julie: This is my review. Are you ready? Meagan: I’m actually really curious. Julie: “I’m so excited. Thank you so much, Meagan and Julie. I love The VBAC Link!” Signed, lots of people everywhere. Meagan: I love it. Julie: We don’t have a Review of the Week so I just made one up. Boom. There. Signed, AnonymousMeagan: All right, you guys. Failure to progress: what it is and what it isn’t. Let’s talk about what it is. What does it mean? Essentially, it means that your provider believes that your cervix did not progress in an adequate amount of time and there’s also failure to progress as in your body may have gone into or you are going in for an induction and then they couldn’t even get labor going which we all know is usually not the case that your body really couldn’t do it, but failure to progress is when your cervix does not continually dilate in an adequate amount of time. Would you change anything about that, Julie, or add anything to that? Julie: Sorry, I didn’t hear half of that. I was just going through it. I was going through the things just to make sure that we are 100% accurate on what we are about to say. Whatever you said, yeah. That sounds great. Yeah. Let’s go with it. Meagan: Failure to progress– the cervix is not dilating in an adequate amount of time. Julie: Basically, yeah. Your cervix isn’t changing so you’ve got to do a C-section because it’s not working basically. Meagan: Okay, so what it isn’t– do you want to talk about what it isn’t? Julie: What it isn’t? It isn’t– sorry, I’m trying to say it. Meagan: It isn’t true most of the time. Julie: Most of the time it’s not true. It isn’t what we think it is and if it is, it’s not a sign that your body is broken. It’s not exclusion. It’s not a reason to exclude you from trying for a VBAC. It’s not your fault. It usually is a failure from the system where people are in a rush or in a hurry and just not knowing how to move past a stall in labor or not understanding the true flow of how some labors take. I mean, I was diagnosed with failure to progress. You were diagnosed with failure to progress and I know that both of our literal clinical outlook at the time we were diagnosed with failure to progress was not true failure to progress. Meagan: Mhmm. Julie: According to what the actual guidelines and requirements are. So I always say, yeah. What you said, it is not true. Meagan: It is not true.Julie: We joke about that and use it loosely. Sometimes it is true. I’ve seen one true failure to progress diagnosis in over 100 births, but I feel like most of us listening and most of us who have C-sections have them because of failure to progress. Now, mine when I was in labor, I was not told failure to progress. I was told fetal heart tones, but that’s another topic for another episode– what we are told versus what is in our op reports. So yeah, let’s do a little plug-in about getting your op report. Find out what is actually in the notes that say why your C-section was called because it’s not uncommon for what it was written down to be different than what you were told in the moment. I feel like having an accurate clinical understanding of what your Cesarean looks like on paper to another doctor who is reviewing your birth is super important. Meagan: Absolutely. I agree and also, I think that it’s important to note that if you have been told this and you have doubt in your body, that it is normal to have doubt because we have been told that we can’t do something and that our body can’t dilate, but I also want to plug-in that really try not to believe that. Try your hardest. Do whatever you can to not believe that. It’s going to help you. Believe the opposite. Believe that your body can do it. Believe that you were most likely set up in a less-ideal circumstance that created that result, right? Like an induction– it was a failure to descend, not progress, but I just recorded a story the other day where her water was broken at 6 centimeters, baby came down wonky. They couldn’t get baby out and they diagnosed her with CPD. There are these things that are happening a lot of the time where we are walking in to be induced way too early or really any time we are being induced could be too early especially if it’s just an elective. It can definitely be too early and our body is not ready so our body is not responding or our body is overwhelmed because it’s been given so much so fast and it doesn’t know what to do so it doesn’t react the way a provider wants it to by our cervix dilating. It almost is reacting in the reverse way where it’s tense and tight and like, No. I’m not ready and I’m not letting this baby out. Don’t you feel like you’ve seen that? Julie: Yeah. We’ve seen lots of things. I feel like that’s the tricky thing. We as doulas and birth photographers really do get to see the whole gamut of everything from home to birth center to hospital and everything. I feel like we have such a unique perspective on how labor is managed in and out of hospitals and how stalls or lulls in labor are managed in both places. Let me tell you, it’s often way smoother and in my opinion way better outcomes when you are out of the hospital and that happens. Meagan: Mhmm. Labor at home as long as you can. Yeah. I mean, one of the stories that I just recorded was an accidental home birth. It was not her plan, not even close, and it will for sure come across that way when she is telling the story, but there were so many things that she did within that labor like movement from the shower to the toilet to walking down the stairs to moving back to the toilet. There was all of this movement that sometimes doesn’t happen in a hospital or we’ve got, like I said, “Let’s break your water. Let’s do these things.” We’ve got these interventions that may help, but doesn’t always. It may also cause problems. Okay, so we have some updates for you on the safe prevention of a primary Cesarean delivery that Julie has found and then we also want to talk about what is adequate labor too? What does that mean and where do we decide or where does a provider decide if labor is not adequate? Julie, do you want to talk about this for a minute on what you found from the OB/GYN Project? Julie: That’s just a really nice summary. I really like it because it is all laid out really nicely. I am seeking out different pieces of information because there is updated information so I’m just looking for that. I’m not quite 100% certain I can speak to when it came out. Evidence-Based Birth has some great information. They did a podcast episode on the Friedman’s curve. We know that dilating 1 centimeter an hour is based on the study that Friedman did. That’s incredibly flawed but there is new updated, more evidence-based information that has come out. I’m trying to find out when it came out actually because the Friedman curve was established I think in 1956 and let’s see. In the 2010’s there were big shifts in the evidence. In 2014, ACOG had a study. Maternal Fetal Medicine published new guidelines on labor progress. Okay, so 2014 it looks like which is actually not that new anymore because it’s 10 years later. That was, I think– I don’t think it’s actually shifted that much at all. I’m just trying to figure that out right now. I’m sorry. Let’s see. The Practice Bulletin– yeah. You go. Safe Prevention of the Primary Cesarean Delivery. Meagan: I think we are looking at approaches to limit interventions during labor and birth, but we know that a lot of the time when we are introducing interventions, that is where we often will receive a failure to progress diagnosis because we are really introducing things, like I said earlier, when the body is not quite ready or the baby is not quite ready. Maybe the baby was already too high and was trying to make their way around and into the pelvis but now we’ve got an asynclitic baby or a transverse baby or an OP baby.This one, Number 766 which we will have in today’s show notes actually originally replaced the committee of 687 in February 2017. The 766 was in 2019 and reaffirmed in 2021. Somethin

Hannah is a VBAC mom and doula with Ebb and Flow Birth Co. located in Indiana. Hannah’s first labor began very intensely. Her platelet levels were high enough for her to be able to get an epidural which she requested right away. She dilated to complete quickly, but after about 4 hours of pushing, baby just kept coming down and going back up with no progress. Hannah was exhausted and consented to a Cesarean. Unfortunately, her very effective epidural was not as effective during her surgery. It was painful. She required higher doses of medicine, hemorrhaged, and was so out of it that she remembers very little about her baby’s actual birth.After the birth of her son, Hannah researched birth options and did all she could do ensure she’d never have another Cesarean. Her VBAC pregnancy included thrombocytopenia again, partial placenta previa (which completely resolved!), marginal cord insertion, and she was GBS+. With a great team and supportive provider, Hannah was able to stay focused on her VBAC goal even with the curveballs thrown at her. She went into labor spontaneously, progressed quickly, and though her pushing stage mimicked the same patterns, with the help of her doula’s tips and freedom to move without an epidural, baby was able to descend and come right out!Hannah's Doula WebsiteWhat is Thrombocytopenia? ACH PublicationsPlatelet Transfusions ArticleNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, welcome. I hope you guys are having an incredible day. We have a guest today who has a VBAC story with a whole bunch of different things added to her journey. She has thrombocytopenia. Thrombocytopenia, I always say that wrong, which means low platelet count. That is definitely something that is more unique. It’s a little bit more rare, but if you’ve ever been told that you have low platelet counts or thrombocytopenia, this is definitely going to be an episode for you to listen to. She also had partial placenta previa and even marginal cord insertion. I am so excited for her to be sharing her story today. We do have a Review of the Week so I’m going to dive right into that and then we are going to get into her beautiful story. This review was just left on Apple Podcasts recently and it said, “I recently discovered this amazing VBAC podcast and I’m absolutely hooked. The host is incredibly knowledgeable and passionate about all things related to pregnancy, childbirth, and postpartum care. Each episode is packed with insightful information, personal stories, and practical tips for expectant mothers and families. I love how they bring on guests and experts to cover a wide range of topics making each episode engaging and informative. Whether you’re a first-time mom or a seasoned parent, this podcast is a valuable resource and empowers and educates. I highly recommend tuning in and soaking up all the wisdom shared on The VBAC Link Podcast.” I love this review and as always, I love them all. I love every single review, you guys. It is so amazing to get a notification in our inbox that a review has been left, so if you haven’t had a chance yet, please do so. Please leave us a review. Tell us what you think about The VBAC Link Podcast. You can do it on Apple Podcasts. You can rate us on Spotify or really wherever you listen to your podcasts. Or even Google– you can Google “The VBAC Link” and leave us a review there. As I always say, these reviews truly warm my heart but they actually really help your community and these other Women of Strength find this podcast and these stories. I encourage you to leave a review and tell us what you think so someone else can find this episode as well. Meagan: Well, welcome Hannah. Thank you so much for joining us. Seriously, you guys, I can’t tell you guys enough. Every time I have someone recording, I’m like, “Thank you for being here with me” because it takes a village and without all of your guys’ stories, this podcast wouldn’t be a thing. So thank you for being here, Hannah, and yeah. Feel free to share your stories. Tell the world what you feel like they need to know. Hannah: Yeah. Thank you so much for having me. I really appreciate the opportunity to share my story because both stories, I could talk about all day but also, I listened to your podcast consistently, constantly throughout the postpartum after I had my C-section and also during my VBAC pregnancy. With our first, I didn’t really have a different plan other than what my friends and family had done. I had planned to go to the highly recommended hospital in my area with a random OB that I just chose. The only real decision I knew I wanted specifically was that I knew I wanted to go unmedicated for my birth but I didn’t do anything other than general childbirth classes to actually prepare to birth unmedicated. I just assumed, “I’m going to go in and have a baby unmedicated and everything will be fine.” I didn’t do anything to prepare for that and my pregnancy was pretty uneventful. I was sick the entire time. I had borderline hyperemesis– not officially diagnosed, but I was very, very sick. The only other weird thing I guess that I wasn’t aware of before pregnancy was I had gestational thrombocytopenia where your blood platelet count gets lower. Meagan: Yes. We just heard about this on a recent story and I had never even heard of that before. Hannah: Yeah, I’ve had it with both of my pregnancies so I think my body just does that when I’m pregnant. The only thing that they had mentioned about that was there was a potential that you won’t be able to get an epidural if your platelets fall too low. I had wanted to go without an epidural anyway so I wasn’t really concerned about that, but again, I didn’t do much to prepare. At the end of my third trimester, around that 36-week mark, they had brought up, “Well, your baby is measuring potentially big.” They estimated him weighing 11 pounds. They were like, “If you want to schedule an induction at 39 weeks, you can. If not, that’s fine. It’s up to you.” My OB was really great about just presenting options and not forcing things to happen. She did say, “You can schedule one of you want to but you don’t have to.” I did schedule an induction for 39+5 or something like that. At 38 weeks and 39 weeks, I decided to get membrane sweeps. I got one at 38 weeks exactly and 39 weeks exactly. The day after I got my membrane sweep at 39 weeks, at 39+1, I went into labor. This was before my induction. I didn’t have to end up being induced, but my contractions that morning had started so fast and so hard that I was really thrown off. I was shocked because when I had talked to people, they said, “They’ll gradually build and they’ll gradually get closer together and stronger in intensity over a few days or whatever it may be.”Mine started. It just hit me like a train. It was really bad so I called my husband. He was already at work that morning and I said, “We need to go to the hospital now. I need to get an epidural right away.” Because they were so intense, I just thought, I’m really far into labor, clearly. We got to the hospital and we got into triage. They checked me and they were like, “Well, you’re about 3 centimeters.” I was just so annoyed. I was like, Okay. I’m only 3 centimeters. Whatever. We can stay because I’m obviously not coping well. I got an epidural right away as soon as we got back to be admitted. Thankfully my platelets were within range to get the epidural. Meagan: That’s awesome. Did you get platelet transfusions at all during pregnancy? Hannah: Nope. They just monitored them. They continued to decrease, but they didn’t drop below that epidural safety level but they were continually decreasing throughout my whole pregnancy. Meagan: Got it. I was curious. I’m always wondering what people with low platelets do if they do transfusions or not. Do you remember what the low number was, like the safety number?Hannah: Yeah, it kind of depends on the anesthesiologist, but for epidural specifically, they said anything below 100. I don’t remember the units. It’s like 100 something per milliliter or something like that. Anything below 100 would be considered not okay to have an epidural. Anything below 70 or 80 would risk people out of home birth which is another thing to consider. But yeah. Mine didn’t drop below that level. It was 105 when I checked into the hospital. Meagan: Awesome. What’s crazy is that less than 1% of people even have this condition. Hannah: Yeah, it’s very rare. Meagan: Yeah. Yeah. Well, good. So you’re 105. You’re getting good. You’re clear to get an epidural. Hannah: Yep. I get my epidural right away when we get back there and essentially, I just nap. My husband was really confused. He was like, “Well, I thought I was going to be doing more. I’m just sitting here,” because I just napped with a peanut ball between my legs. I progressed very, very quickly especially for a first-time mom and around 9 centimeters, I had been stuck at 9 centimeters basically not really long, but longer than I was for how fast I was progressing. When my OB came in, she said, “If you want, we can break your water just to get you to that complete state so we can start pushing.” I was like, “Yeah, fine.” I didn’t really know a difference so she broke my water and then I got to 10 really, really quickly but I labored down for quite a while just because my OB was back and forth between seeing patients in clinic and then coming to see me because she comes to your birth whether she’s on call or not which is nice. I labored down for a while and then started doing practice pushes or whatever with the nurse. My epidural was so strong. I felt absolutely nothing. I didn’t feel a sensation to push, an urge to push. I didn’t feel pressure– absolutely nothing. Me trying to push was not effective whatsoever. I pushed for about 4 hours before we ended up opting for a C-section because my son was just coming down and then going back

Lauren has had three very different births. She had a peaceful C-section due to breech presentation with a difficult recovery, a wild, unmedicated VBAC, and a calm, medicated 2VBAC. Due to her baby’s large size, she had to have an extra incision made during her Cesarean leaving her with a special J scar. Though her provider was hesitant to support a TOLAC with a special scar, Lauren advocated for herself by creating a special relationship with her OB and they were able to move forward together to help Lauren achieve both of her VBACs. Lauren talks about the importance of having an open mind toward interventions as she was firmly against many of the things that ended up making her second VBAC the most redemptive and healing experience of all. How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, hey everybody. Guess what? We have our friend Lauren and her 11-day-old baby. Is that right? Lauren: Yeah. Meagan: 11 days old. You guys, I actually didn’t even know that this baby existed until we popped up on the Zoom and she was holding this precious little newborn. She was like, “Surprise! I had another VBAC.” So we will be sharing, well she will be sharing her two VBACs so 2VBAC and something kind of unique about Lauren is that she has a special scar, a special J scar, correct? Lauren: Yep. Meagan: Yeah, so that happened in her first C-section. If you are listening and you have a special scar or have been told that you have a special scar, this is definitely an episode that you are going to want to put on repeat and save because I know that there are so many people out there who are told that they have a special scar and that they should never or can never VBAC again. I know we’re not even getting into the story quite yet, Lauren, but did you have any flack with that? Did anyone talk about your special scar at all? Lauren: Yes. Advocating for the VBAC is probably the overarching theme of my VBAC because I really had to go to bat for myself for that without switching providers. Meagan: Yeah. We know that’s so common. We see it a lot in our community just in general trying to get a VBAC let alone a VBAC with a special scar. We are going to get into her story but I have a review and I didn’t even know that this was a review. It was left in a Baby Bump Canada group on Reddit actually so that was kind of fun to find. It’s really nice. It says, “Seriously, I’m addicted. I find them so healing. I had an unplanned and very much unwanted C-section and I have been unknowingly carrying around all of these emotions and trauma about it since. I thought I was empowered going into my first birth, but I wasn’t strong enough to stop the medical staff with all of their interventions. Don’t get me wrong, I believe interventions are necessary in some instances. But looking back now, I realize those interventions were put in place to make things easier involved in delivering my baby. Anyway, I won’t get into all of that here, maybe in a separate post. The point of my post is checking out The VBAC Link podcast. I listen to them all day now while caring for my babe. They also have a course you can take focusing on preparing for VBACs. Even if you just like birth stories, they have CBAC stories I believe as well. On the podcast, a guest also pointed out that what do you want for a VBAC birth– peace, redemption, etc.? She talked about how you can still feel those things if you need a Cesarean.” I love that point of view right there that you can still have peace and redemption even if you have a scheduled C-section or if your VBAC ends in a Cesarean. It says, “Another mom pointed out when she was feeling hesitant about saying okay to a C-section, her midwife said, ‘You have permission to get a C-section,’ not in a way that a midwife was giving her permission, but telling this mom, ‘C-section is okay and you shouldn’t feel like having one is wrong.’ My baby is 8.5 months and we aren’t going to try for a baby until they’re about 18-24 months mostly to increase my chances of VBAC, but I really love these podcasts.” Then she says, “Okay, I’ll stop raving now.” I love that. Her title is, “If you’re considering a VBAC, I highly recommend The VBAC Link.” Thank you so much to– I don’t actually know what your name is. Catasuperawesome on this Baby Bump Canada group. Just thank you so much for your review. As always, these reviews brighten our day here at The VBAC Link but most importantly, they help other Women of Strength find these stories like what we are going to be sharing today with Lauren’s story. They help people feel empowered and educated and motivated and even first-time moms. They are really truly helping people learn how to avoid unnecessary Cesareans. I truly believe that from the bottom of my heart. Meagan: Okay, Lauren. As you are rocking your sweet, precious babe, I would love to turn the time over to you to share your stories. Lauren: Awesome, thank you. It’s so nice to be here finally. I’m so excited because this podcast truly is the reason why I had my VBAC. I am kind of weirdly unique in that I didn’t really feel like I had any mothering instincts. My husband and I had been married for 6.5 years before we decided to get pregnant because I always swore off children. I said, “It’s not for me. I’m never going to have children. I want to travel and I want to do all of these things and children are for other people. I can’t imagine myself as a mom.” My husband said, “Well, let’s wait until we are 30,” because we got married really young. He was like, “Let’s just wait until we are 30 and we will revisit the discussion.” I always find it kind of nice when I hear stories of women who feel similarly to the way I did because it’s so relatable and I feel like we are very few and far between. That’s another reason I wanted to share my story because I know there are other women out there like me. So anyway, it just so happened that at this time, my sister was pregnant. My brother was pregnant. My husband’s brother was pregnant. We were like, “You know, we’re almost 30. We’ve waited a long time. If we’re going to have kids, we might as well have a kid when he or she is going to have all of these cousins.” My husband was like, “Let’s start trying.” I’m like, “Great. I’m going to give it two months and if we don’t get pregnant, we’re not going forward with this. I’m going to say I tried and I can tell everyone I tried and that it didn’t work.” Well, God has a sense of humor because two weeks later, I had a positive pregnancy test. Meagan: Two weeks later? Lauren: Yes. Meagan: So you were already pregnant when you had this conversation. Lauren: I was already taking birth control. I was multiple days into the pack. I just threw it in the trash and was like, “Let’s just see what happens.” I guess when you do that, you can get pregnant. I don’t know. I didn’t really have a cycle. I got pregnant. I was so naive about how it all worked. I’m like, “Okay. The test is positive. I’m pregnant. It is what it is. I’m very much pregnant.” I had not doubt. I had no worry about miscarriage, nothing because I had a positive pregnancy test. That’s sort of how I went through my pregnancy, kind of disconnected, very naive, and a little bit in denial that I was actually pregnant all the way up until the end. I read one book and it was called The Girlfriend’s Guide to Pregnancy and it’s this really sarcastic, funny book. She’s very flippant about pregnancy and very straightforward with my sense of humor. I liked it because I felt the same way. I wasn’t mushy or emotional. I had no connection to the pregnancy. I am pregnant. That’s a fact. Anyway, at 26 weeks, my doctor was like, “You know, I think he’s breech.” I was like, “Okay.” I knew what breech was, but I’m like, “Okay, what does that mean?” She was like, “Well, I would start doing some Spinning Babies exercises. Let’s just keep an eye on it. I was going to a chiropractor this whole time. This is important for people to know. I was going to a chiropractor before I even got pregnant regularly. This chiropractor was seeing me. I told her that the baby was breech. “Can you help me flip him? Can we do some bodywork?” I continued to see her. I don’t know if it was once or twice a week but it was often. 36 weeks rolls around and I see the midwife in the practice. She is not finding the heartbeat where it should be. She finds it up higher and she goes, “Lauren, I think your baby is still breech.” I thought there was no way. I had been seeing a chiropractor. I had been doing body work and stuff. She was like, “Well, why don’t you go see the chiropractor that our practice recommends?” I’m like, “Okay.” I call this chiropractor on the phone. I leave her a message and I’m like, “I’ve been seeing another chiropractor, but my baby is breech.” She immediately called me right back and she was like, “What has the chiropractor been doing?” I’m like, “It feels like a normal adjustment like nothing different from before I was pregnant.” She was like, “So you’ve been on your side and she’s been twisting your back and your pelvis away from each other?” You know how they do those kinds of adjustments? I said, “Yes.” She was like, “Oh my gosh.” She’s like, “How soon can you come see me?” I started seeing her. My OB actually also recommended moxibustion. She got me set up with an acupuncturist in the area which I thought was really cool that she was like, “Some people say they swear by this. You need to do more Spinning Babies. I want you to go to acupuncture.” I saw this chiropractor and she was like, “What that chiropractor is doing to you is not pregnancy-safe. She’s not Webster-certified and you needed to be seeing a Webster-certified chiropractor.” That’s one of my regrets because I feel like had I known, obviously, I can’t say I blame her 100%. I was also working out a ton because I’m like, “I don’t want this pregnancy to change my body. I’m going to be skinny.” That’s all I cared a

During her first labor, Emily experienced a hyperactive uterus where she had constant squeezing with no breaks and minimal dilation. She was at a birth center but after exhausting all coping options decided to transfer to the hospital. After receiving an epidural and Pitocin, then detecting meconium, Emily was ready to consent to a Cesarean. Emily’s second birth was a planned Cesarean, then her third and fourth births were both VBACs. Emily describes how even though her provider was the same for both vaginal deliveries, her experiences were so different. With her third, Emily had a beautiful pushing stage and easy recovery. However, pushing with her fourth felt rushed and she experienced a fourth-degree tear. Meagan and Emily share the importance of making your preferences known in every aspect of labor and delivery so your support team can speak up when you are not able to. Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. We have a 2VBA2C story for you today. We were just talking about it before we started recording all of the acronyms. I was like, “Oh, you’re a VBAC after two C-sections story.” And your baby is 8– wait, did I see that right? 8 months? Emily: He’s 9 months now. Meagan: 9 months. Emily: He’s almost a year. 8 months, 9 months, 10 months, somewhere around there. Meagan: Still very little, still very fresh so I’m excited for you to share his story and your other babies’ stories. We have Emily by the way. This is Emily. Hello, Emily. Emily: Hi. Meagan: Remind me. Where are you located? Emily: I’m in Texas. Meagan: Okay, you’re in Texas. Awesome. Okay you guys, we’re going to share her stories. We do have a Review of the Week so I want to hurry and get into that and then we’ll jump into Emily’s stories. This Review is from Rachel and it says, “Thanks for giving me the confidence to have a VBAC. I am glad I found this amazing podcast when I was newly pregnant with baby number two. After a long, traumatic experience that ended in a C-section, I was cautiously hopeful that I would have a VBAC. Using information that I learned from hearing other people’s stories on The VBAC Link, I felt confident and prepared for the birth of my son. On October 9, 2020” so that was four years ago, “I had a beautifully redemptive VBAC and welcomed our boy into the world. Thank you so much for helping me achieve my dream.” Women of Strength, that review is for you. You and your stories and your participation in the community and on Instagram and all the places is seriously what builds this community up and helps these other Women of Strength find the courage just like she said and find the education.I’m so excited for you, Rachel. Congrats and as always, if you have time to leave a review, please do so. It helps other Women of Strength find stories. Meagan: Okay, Ms. Emily. Let’s get into this. So you have four babies now. Emily: Yes. My oldest is about to be 7 and my youngest is 8 months or so. Meagan: Okay, so you were having your first C-section as I was pregnant with my VBA2C baby. Emily: Yeah, it was 2017. Meagan: When you had him? Emily: When I had her. I had three girls and then my youngest is a boy. Meagan: Yes. My VBA2C was in 2016 so just right before, yeah. Awesome. Okay, well I’m going to turn the time over to you. Emily: Sure. So my first pregnancy, I actually found out I was pregnant on my honeymoon when we were in Mexico. Meagan: Oh my gosh. Emily: Yeah. I was stressed out and working out a bunch and all of this planning the wedding. I expected my period to come while we were there so I’m like, “Oh, it’s going to be the worst. I have all of these white clothes and I’m going to be on the beach and I’m going to have my period.” It just didn’t come so it was right at the start of our honeymoon. I was like, “Let’s take a test. I don’t want to be drinking margaritas for the rest of the week,” then of course, I was. We came back from the honeymoon with another big announcement. I feel like a lot of people’s stories is that you didn’t know any better and you just showed up at the hospital and you did what the doctor said. I was the exact opposite at that point. I was reading all of the things. I read the Ina May book. I had a midwife at a birth center and I was going to the chiropractor constantly. I was doing all of the things to be ready to give birth at the birth center without medication and all of that. That’s just not how it ended up. I think I was around 36 weeks and she was breech. I was going to the chiropractor all of the time trying to get her to turn. I was doing Spinning Babies. I was doing acupuncture. I was going upside down all of the time. I was finding swimming pools to do handstands and all of the things. I did moxibustion where you smoke–Meagan: Uh-huh, on your Bladder 6. Emily: She was still breech so my midwife set me up with the breech guy. People come to him from all over to do breech vaginal deliveries so I started seeing him. This was when we were living in Houston so I started seeing him and we did all of the things to try and get her to turn and ended up having a version. I went in. I had an epidural. They manually turned her and then afterward, they were monitoring me in the room and the nurses were like, “Okay, well do you want to be induced now?” I was like, “Nope. I’ve got a plan. I’m going home.” So I left the hospital after that. She stayed head down and then I went to 42 weeks and at about 42 weeks, I went into labor but my labor was weird. I was getting contractions but there was no break between them. It was just constant, squeezing pressure. I was texting my midwife asking, “I don’t know what to do. I can’t time them. There is no in-between.” It was mostly my back and after, I think it was 3 hours and I was like, “I can’t do this. This is too weird.” I didn’t have any guidance for what to do if you’re not able to– they weren’t broken up at all. Meagan: Were you dehydrated at all? Emily: No, I don’t think so. I’m not sure. We finally went into the birthing center and it stayed that way for a really long time. We were there throughout the night. I was on a birthing ball and my husband was just elbow into my back for hours. I couldn’t sleep because it was just constant pain. I tried the Rebozo scarf. We did all kinds of things while I was there. I will say though, I should have had a doula because my midwife kind of just left the room and was gone. She was somewhere in the center probably sleeping. I don’t know. She would come in every once in a while and we were really just left to our own devices in there. We had done I think it was a six-week class. We went in every week trying to prepare. Yeah, we were just in this room together in the middle of the night really tired and in a lot of pain not knowing what to do to get this going. At one point, I was on an IV. She had given me all of the pain stuff that they can give you. At one point, she was like, “I’ve done all of my–” I wish I could remember. Meagan: I’ve exhausted all my tools type thing. Emily: Yeah, I’ve given you as many doses as I can in a time period. We did the catheter. That came out at some point. I think it was Monday when I went in there and then Wednesday when I ended up leaving there. At one point, she was checking to see. She was looking at my cervix and my water broke. There was a bunch of meconium and it was green crazy. She just looked at me and was like, “I think it’s probably time for you to go.” I got back in the car in rush-hour traffic in Houston and headed to the hospital. There was a nurse in the back seat with me holding my IV bag. My husband drove us there. She had called the doctor who did my version so I had already met him and known him and known that he was pretty progressive as well doing breech vaginal deliveries and I know he did breech twin deliveries. He was a very cool guy so I felt good about that. We went. He was like, “All right. Let’s do an epidural. You can sleep. You can relax and all these things.” That’s what we did. I think I had the epidural for 8 hours and I was at 6 centimeters. They were like, “Okay, what about Pitocin?” I feel like they did give me a lot of time and I hate the saying “give me” but they gave me a lot of time and by the end of it, I was exhausted. I was done and ready to get her out. I only made it to 6 centimeters after all of that. It was 3 days of labor. By that time, just get her out of there. She was almost 10 pounds. She was big. Yeah. The C-section, that all went fine. I found recovery to be especially hard. My body was already so tired. Meagan: Exhausted. Emily: Exhausted. I wasn’t prepared for it. I didn’t expect it to be as painful as it was, but yeah. I know some people kind of just pop right up after and are moving around. That was not my experience. That was my first. I feel like I had 10 experiences in one. I did the midwife birth center thing. They tried to get my labor going with an epidural. I had already been there for an epidural once so by the time I was getting the second one, it was whatever, and then the C-section also all in that one pregnancy. Yeah. I feel like it was three births in one.But yeah, then we got pregnant with my second. I talked to my midwife again. She was like, “I don’t do VBACs,” so the first person I called was the guy who did my C-section and my version. I said, “I want to do a VBAC.” He was like, “All right.” He was very cool about it and awesome. It was another really easy pregnancy. I got to the end. I was 41 weeks. Meagan: So you carry longer. Emily: Yes. I was 41 weeks with her and I went in for an appointment and they did a sonogram and I was like, “Please can you check my cervix? I just have to know where I’m at.” Yeah, I hadn’t dilated at all and he was like, “Well, your sonogram’s estimating that she’s going to be 10 pounds also.” My mom had been in town at that point. They were trying to be there for the birth and helpi

Jacqueline’s symptoms of FSHD muscular dystrophy began at 16 years old. She shares with us today how she manages chronic pain and what that looked like throughout her pregnancy and birth journeys. Jacqueline is also a sexual violence trauma survivor and went through three pregnancy losses. Through her nonprofit organization and as a birth doula, she is a strong advocate for trauma-informed care for all women. Jacqueline shares inspiration and advice throughout the episode for women who also have a history of trauma as well as those who are trying to navigate birth with a neuromuscular condition. Her proactive approach to caring for her body and heart allowed Jacqueline to have a beautiful, empowering, and healing VBAC, especially after enduring so much.  Anesthetic Management for Dystrophy ArticleNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. Today’s episode is a VBAC episode, but it has an extra topic that is a first for the entire podcast life. In 320-something episodes, we have never talked about this specific topic. The other day on social media, I had a couple of spots so I reached out and I am so grateful for Jacqueline. Are you in Canada? Jacqueline: Yes. Meagan: Yes. She’s from Canada and she reached out and was like, “Hey, this is something about my story.” And I was like, “Yes, let’s do that because this would be amazing.” One of the things that we are going to be talking about today is FSHD muscular dystrophy. Jacqueline: Dystrophy. Dystrophy. Meagan: Okay, yes. We are going to be talking about that a little bit more and the challenges that you have had to go through with all of this. If you wouldn’t mind before we get to the review, will you tell us a little bit more about FSHD and one, what is it? Two, what are the things that we are told because you have it and how you had to birth if you were told?Jacqueline: Yeah, absolutely. FSHD is a form of muscular dystrophy. It’s quite rare and it essentially affects the muscles in my shoulders and in my facial muscles as well. For everyone with FSHD, your symptoms present quite differently. Of all of the types of muscular dystrophy, it is one of the more common forms, but in the big scheme of conditions that you can live with, it definitely is still considered to be rare. I was diagnosed in 2018 officially though I had symptoms starting from the age of 16 and I gave birth to my first child when I was 21 years old. I didn’t have too many symptoms at that time. Going into my twenties, I started to have more atrophy in my shoulders, my lower back, and sometimes in my feet. My second and third processes were a little bit different, but overall, in terms of pregnancy and birth, my specialist always shared that you’re able to carry a baby and you’re able to give birth. The atrophy that we experience doesn’t necessarily affect that process thankfully, but I’ve always been someone who is very proactive in terms of minimizing my pain and trying to do different types of therapies to minimize the chronic pain that I live with so I’m very focused on that during pregnancy especially. In my most recent birth which happened 5 weeks ago now, I really focused on making sure that my body was very strong and at its optimal comfort level that I possibly could be while pregnant in order to achieve a successful VBAC. Meagan: Oh my gosh, thank you for sharing and we’re definitely going to go in through your journies and I’m sure it’s going to come up. We’re going to learn more about how you did that, how you made sure your body was at its most comfortable spot that it could be while growing a baby and how it’s impacted your life. Thank you for sharing. I do want to share a Review of the Week before we get too far into today’s episodes. This is by Rachel Thornton and it says, “Thanks for giving me the confidence to have a VBAC.” It says, “I am so glad I found this amazing podcast when I was newly pregnant with baby number two. After a long and traumatic first birth experience that ended in a C-section, I cautiously hoped that I could have a VBAC. Using this information that I learned from hearing other people’s stories on The VBAC Link, I felt confident and prepared for the birth of my son. On October 9, 2020, I had a beautiful, redemptive VBAC and welcomed our boy into the world. Thank you so much for helping me achieve this dream.” Girl, Rachel, you are amazing. Congratulations and thank you for sharing the story of your dream. I am so happy for you that you got your VBAC and as always, if you have opinions about The VBAC Link, please share them. Rate us. Give us a review and let us know what you think and maybe how we’re changing your dream as well. Meagan: Okay, Jacqueline. Okay, so you have three babies. Jacqueline: Yes. Meagan: One is 5 weeks old. 5 weeks? Jacqueline: Yes. Meagan: Itty bitty, bitty. Wow. Thank you so much for taking the time 5 weeks postpartum and you could be taking a nap right now and you are here with us sharing your story. I’m going to turn the time over to you and let you share away. Jacqueline: Great. As mentioned, I have three kids but this was actually my 8th pregnancy so I am quite well versed on pregnancy and birth and I am actually a doula myself. I went through the training process after I experienced three consecutive losses when I was trying to get pregnant with my husband. This was back in 2020. With that, I sort of had a new sense of knowledge coming into pregnancy and birth. That was following the birth of my daughter. I had her when I was 21 years old and that process was very different than my other two pregnancies and birth stories. Unfortunately, when I was pregnant with her I was in an abusive relationship. It’s a very unique story I guess you can say. I was living abroad at the time so most of my pregnancy care actually took place in Kenya where I was doing work with my nonprofit organization and then I moved back to Canada when I was 6 months pregnant and lived with my family at the time. They really supported me and just came to a level of peace before giving birth and mentally preparing for becoming a parent at a very young age and as a single mom. But going into that birth process, I really did no preparation at all. I found myself during this pregnancy and as I was preparing for the birth of my second son which happened just 5 weeks ago, I really found myself reflecting on my pregnancy and birth experience with my daughter. With her birth, I had no foundational knowledge aside from what I had seen in movies really and because of that, at 39 weeks, I ended up getting induced. It was a very long birth process. I was already in a very traumatized state because of what I was going through at the time and I had my mother and my grandmother there with me when I gave birth but my mother had also gone through inductions because my brother and I stayed locked in there until well over 42 weeks actually for both of my mom’s pregnancies. She had never experienced anything different. I didn’t think twice about experiencing an induction and to summarize that birth story really, I ended up giving birth vaginally after over 24 hours of laboring. I had a failed epidural which I got just before she was born about an hour and a half prior to her being born and I had no movement throughout the entire process. I quite literally just moved from one side of the bed to the other. I was watching Ugly Betty throughout my entire labor and delivery. That I do remember. It was my comfort show at the time. I largely just wanted the process to be over so that I could be with my baby and there were a lot of things that happened throughout that labor process that I didn’t even reflect on as unnecessary interventions again until this pregnancy. Jacqueline: 7 years later, when my husband and I decided that we wanted to start the process of expanding our family, we were really conscious about making sure that I didn’t have that same experience. I really opened up to him about how I was just in a state of survival with my daughter’s birth and how I didn’t want to go through that again. Again, at this time, I also was a doula as well. After we had experienced our losses, it was really important to me to just expand my knowledge and I felt really called to get that training because of the insensitivity that I experienced when I was navigating loss. Coming into the process of now having a rainbow baby and wanting for it to be a really redeeming birth as well, I tried to make sure again that my body was very strong coming into labor. One thing that I think stands out as a person living with a disability with FSHD muscular dystrophy is that often with conditions that are rare, you have providers who when they hear that you have a rare condition, they immediately want to turn you away. Meagan: Yeah, they get scared. Jacqueline: Exactly. I reached out to the midwives’ team in my community. At the time we were living in Northern Ontario in Canada which is more rural and remote so we only had one midwife team in our area. When I put in my form stating that I had a form of muscular dystrophy, I was immediately turned away and that was a little bit deterring so I reached out to a friend of mine who was a midwifery student. She encouraged me to just call the practice and explain what my condition actually was and how it did not affect my ability to give birth at all. I was not high risk. In doing that, they changed my status in their system and put me on the waitlist. Within our community, you essentially have to call the midwives at 5-6 weeks pregnant if you want to get in. It’s very unfortunate because they provide such incredible trauma-informed care and support, but it’s something that is very heavily regulated and they are only allowed a certain amount of clients each month.Because of that, a lot of women who are giving birth don’t get to access those services. Fortunately, I received

“With cord blood, hope really knows no bounds.”Diane Paradise is living proof that cord blood transplants cure the incurable. Diagnosed with a rare form of Hodgkin Lymphoma at only 24 years old, Diane fought an extremely hard fight as it returned five more times before age 42. It had now become stage 4B and metastasized to her bone marrow. With no other options, Diane was given hope through a clinical trial. She eradicated all of her sick marrow through aggressive chemotherapy and then was given a new blood type through a cord blood transplant from two different donors. 24 days later, after almost two decades, Diane was cured. She has just celebrated her 10th year of being cancer-free and has committed her life’s work to spreading education about the hope behind what banking your baby’s cord blood after birth can do for your family. Meagan and Diane talk about what cord blood banking is, how to enroll, how much it costs, and where you can find all of the information you need about this lifesaving procedure. July is Cord Blood Awareness Month and Cryo-Cell is offering a free seminar on Wednesday, July 31 2024 at 1:00 PM EST. Register at https://lp.cryo-cell.com/fuller-paradise-seminar. Cryo-Cell's WebsiteNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, hey everybody. Today’s episode is a little different from the norm. We are actually going to be talking about cord blood banking. We have my friend Diane on the podcast. Hello, Diane. Diane: Hello, hello. Meagan: It’s so good to see you again. She and I met for the first time actually in January of this year, 2024 at a doula retreat and she was there speaking at this retreat about cord blood banking. Cord blood banking for me wasn’t actually a new topic because I had spoken to another company a little while ago about it but there was something extra unique and extra special about Diane and Cryo-Cell is the company that she works with that I was like, We need to share more about this. First of all, her story which I’m sure she’ll share a little bit more about, is incredible. So today, we actually normally would do a review, but I really want to soak up the time with Diane because I know her time is so precious. After the intro, we are going to dive right into what this is even about. Meagan: Okay, you guys. Like I said, we have our friend Diane. Diane is a 29-year, six-time cancer survivor. After fighting a rare and uncurable Hodgkin Lymphoma for nearly two decades, a cord stem cell transplant saved her life. You guys, when she was sharing her story at this retreat, it was so insanely amazing and heartbreaking at the same time. So many things that she’s been through. It says, “This past December, she celebrated her 10th transplant re-birthday. For many years, Diane was a survivorship educator helping women living with cancer and chronic illness. Today she is spending time on the side of the cure educating expectant parents, birth workers, and obstetricians on providing the potential of cord blood for Cryo-Cell International, the world’s first cord blood bank.” Diane, welcome to the show. Seriously, I am so excited for you to talk more about this with our listeners because we do have expectant parents. We do have OB/GYNs and midwives and birth workers and this really is a unique thing and it’s something that is so powerful. I know because I’ve heard your story so I’m just going to turn the time over to you. Diane: Thank you so much, Meagan. First of all, I know your audience is varied but for the expectant moms out there, I just want to say congratulations. I can only imagine the mix of emotions they are feeling right now and one of them is probably a profound sense of hope and anticipation. So for me, hope was two units of cord blood stem cells hanging on an IV pole on December 3, 2013. So let me step back a bit just so everybody can understand. I was diagnosed at 24 years old with that rare, incurable form of Hodgkin Lymphoma. It was back in 1994. I think about that. Wow, I’m aging and I love it. The alternative wasn’t great. Meagan: But you’re still so young. Diane: I am. I am.I was told that this was incurable and that it would keep coming back. It would be more and more aggressive. The chemo would become less effective over time and the intervals between when it came back would get shorter. That’s exactly what happened. It came back at ages 31, 35, and 38. It became really aggressive at age 40. What I mean by that is that it went from stage 2B to 4B. It had metastasized into my bone marrow. I couldn’t walk. I couldn’t drive. I couldn’t take care of myself. I couldn’t even take care of myself alone. Thankfully, I went back into remission around the spring of 41, but it came back a year later at age 42. I spent about a year and a half going through different types of chemotherapy trying to get it back into remission and that’s when the idea of a transplant came up because quite honestly, it was my last chance. It was my last hope. It was in my bone marrow. It was time to either going to heal or it wasn’t. So I ended up in a major hospital and we originally had started looking at bone marrow transplant. We were looking at what they call a half-match and they were going to use my sibling. Now, my siblings aren’t ideal donors. They are older than I am and the ideal donor is 18-35. At that point, I was 43 so I was a year and a half into it. I was 43 so that tells you how much out of the ideal age range my siblings were. Then they called me and said, “Oh hey, we have a clinical trial going where we are going to be comparing the side effects of cord blood versus bone marrow and the effectiveness.” I was like, “I don’t understand. What’s the difference?” They said, “Bone marrow is educated stem cells. They are educated stem cells. They’ve been exposed so any virus that your donor has or has had, when you receive that donation as your own stem cells, you will have been exposed to that whereas cord blood which is taken after the umbilical cord is clamped and cut is pure and uneducated. It has a higher rate of engraftment. It has a lower rate of graft versus host disease which is where your body thinks the stem cells are the enemy. Then it really doesn’t have much of a chance of a virus being there, a latent virus.” I went ahead and said, “Yes. Hello, I’ll take that pure, uneducated. I’ve had a failing immune system for 19 years at this point. Yes. I’ll take that clean, clear, beautiful, pristine cord blood stem cells.” So I went to the hospital. It was around November and I had to do a lot of the pretesting. I went through six days of really intense chemotherapy and one day of radiation to eradicate my own bone marrow, the sick bone marrow. Then I received on December 3, 2013, two donor stem cells. One was from Germany and one was from Michigan. About, it was a few weeks later. It was a few weeks later when they pull a blood test to see where are you on the engraftment. Is there a little bit of one of the donors? And I want to step back. The reason that there were two donors– if I were a child, I would only need one donor, but I’m an adult. That’s a lot of bone marrow that has to go in and graft and replicate in order to ingraft for an adult basically. That’s why I had two of them. It kind of creates a survivor of the fittest. It creates an environment for faster cell engraftment. So then I had the blood test done 24 days later. After 19 years of battling incurable cancer, I was 100% grafted to the Michigan baby in just those 24 days. Meagan: Isn’t that incredible? Diane: It really is. I was cured by cord blood in 24 days. Meagan: 24 days after years and years. Diane: Almost two decades. Meagan: Yes. Diane: Yes. So think about this. I want you to really think about this. What is often tossed as medical waste is what saved my life. Meagan: I encapsulate placentas, the actual placenta itself and there will be so many times where people are like, “Why would you do that? That is garbage.” They literally say that. They think that. Placentas are garbage, but look at what it’s done. It saved your life. Diane: Well, the cord blood did, yes. Meagan: The cord blood which I understand they can throw the placenta away after they get the cord blood out. Is that correct? Diane: So what we do with cord blood is that after it is clamped and cut, they actually insert a needle and draw the rest of the cord blood out because the placenta continues to pulse as if the baby is there for up to 30 minutes. That’s the stem cells that we are collecting. Now, if we were to collect the cord tissue that’s after the placenta has been delivered, we will cut and collect the cord tissue if that’s something that the parent is interested in, yes. Meagan: Gotcha. Diane: Yes. So I ended up with a new blood type, just so you know. Meagan: Oh yes, I remember you saying that. Diane: Remember? I remember you liked that comment a lot when we talked about it. Meagan: A whole new blood type. The fascinating thing is even your immune system we talked about how it started over. Diane: Yeah, I had new baby immunizations. I’m 43 years old and 44 years old and getting immunizations as if I never had them. Meagan: Yeah. Diane: I just find that so fascinating. Meagan: It is so fascinating. Diane: So fascinating. Meagan: It is. Okay, so cord blood isn’t being used a ton. Diane: It is. It is. Meagan: Sorry, it is being used a ton. Diane: A lot more than people know, a lot more than people know. Meagan: This is my thing is that it’s not being talked about. Diane: Bingo, ding ding ding. There you go. Meagan: Let’s go into that. Diane: Yes. It’s funny because even I found a transplant video from the day of the transplant where I did a vlog to my family and friends and I talked to them about these two women who selflessly donated their cord blood and how it would potentially save my life or potentially could save my life. I was like, “I don’t even know how they

Caylee joins us from Canada sharing her experience with two VBACs after a twin Cesarean birth. She also shares what it was like having cholestasis in all three pregnancies. Cholestasis is a liver condition that slows or stalls the flow of bile. Meagan and Caylee discuss in greater detail what cholestasis means during pregnancy, what symptoms can look like, and how it is diagnosed. One of Caylee’s most intense symptoms was incessant itching. She talks about how it affected her not only physically but mentally as well. While all three of her pregnancies were preterm births and her two VBACs were medically necessary inductions, Caylee advocated throughout her entire labors and was able to stay the course to achieve the vaginal births she knew she was capable of. Cleveland Clinic Article: Cholestasis of PregnancyAmerican Journal of Obstetrics and Gynecology Article: Risk of Stillbirth in U.S. Patients with CholestasisHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to the show. We have our friend, Caylee, with us and her little wee, tiny little newborn. Caylee: Hi everyone. Meagan: Oh my gosh. Welcome to the show. How old is your baby? Caylee: He just turned 3 months. He was born a month early though. Meagan: Okay, 3 months and a month early. We are going to talk about why he was born a month early. You guys, today we are going to be sharing some stores and talking a little bit about cholestasis. This is something that we actually don’t have a lot about on the show. When you were listening, Caylee, did you? Caylee: I don’t think I’ve heard a single episode, yeah. Meagan: Did you hear about it in general on other platforms? Was it talked about?Caylee: Not really, no. I found it online on Facebook. I’m in the ICP Care Facebook group and that’s super helpful. They are amazing in there and super knowledgeable, but yeah. It’s not very common. It’s quite rare. I think it’s 1 in 1000 women who end up getting it. Meagan: Yeah. Caylee: So yeah. It’s not very well known about and even with providers, providers don’t know about it very well either. Meagan: Yeah. I think that can be part of the problem, right? Because we’ve got providers who don’t know a lot about it and then it can cause a little bit of a panic and then a lot of the times, it can cause Cesareans or lead, I should say, to Cesarean. We’re going to be talking about that today and sharing her stories. Review of the WeekMeagan: But I do have a Review of the Week so I’m going to get into that and then turn the time over to cute Caylee. This is from Cori and it doesn’t say where it’s from. Somewhere in the universe, it is from. It says, “The VBAC Link is gold.” It says, “Of all of the things I did to prepare in pursuing for a VBAC after two C-sections, I think is one of the most important is that I was listening to this podcast. Hearing these stories and information from Meagan and Julie made the dive into learning about VBAC and birth in general so much easier. I was blessed with my VBA2C” so VBAC after two C-sections “with my sweet Brynne Lynn and I sincerely believe I wouldn’t have gotten to that point without this resource and the community. Thank you guys for all that you do.” Oh, that just makes me smile so much because this community– oh my gosh. I mean, Caylee and I were kind of just talking about this. Yes, Julie and I are here, but there is this community, this absolutely incredible community and all of the people coming forth to share their stories. And Caylee, you just said it yourself when you were like,  it’s like all of these people who came and shared these stories impacted you. Caylee: Yeah, totally. Meagan: Yeah, they are the reason. You are the reason right here. Caylee, you are the reason why what Cori said in this review is possible by sharing your stories, by coming in the community on Facebook and on Instagram and having these conversations and learning and also being vulnerable. There are so many times where I see posts where it’s the most vulnerable, genuine post and I can’t explain to you the outpouring of love that I see come in for this person from this community. The VBAC Link Community, just the VBAC community in general, oh my gosh. You are all amazing. Thank you so much and yes, if you want to join that community, check us out on Facebook at The VBAC Link Community. It is a private group. You do have to answer the questions to get in so just keep that in mind. If you are not answering questions, you might not be allowed in. And on Instagram, and of course, if you want to have a review that I could share for the Review of the Week, please do so. We would love that.  Symptoms of Cholestasis Meagan: Okay, Caylee. Are you ready? I’m so ready. Caylee: I am ready, yes. Meagan: Awesome, I would love to turn over the time. Caylee: I don’t know where to start. Should we start by talking a little bit about cholestasis so that they understand the risks? Meagan: Yeah, I think that– well yeah, the risks, the symptoms, and then also how it can be missed and then how it can sometimes– well it kind of goes with the risk, but there are other things that can come in I should say from cholestasis and I actually even had a client myself, a VBAC client after two C-sections. She had cholestasis, preeclampsia, VBAC after two Cesareans, and was induced. Caylee: Wow, good for her. Meagan: Yeah, but preeclampsia, right? Okay, let’s talk about the things. So what are the symptoms that you one, may be experiencing, and two, that there may be that someone might not experience? Caylee: Yeah, so for me, it was intense itching mainly on the bottom of my feet and on the palm of my hands but I had it everywhere. I have scars on my ankles, up my arms, on my belly just from scratching. Meagan: From scratching? Caylee: Yes, incessantly. It’s an itch that you can’t really scratch. It’s in your blood that is making you so itchy so you can scratch all you want and it’s temporary relief but as soon as you stop, it’s like, oh. I broke down in tears so many times and had ice packs on my feet and on my hands while I was trying to sleep. Another symptom is darker urine output and some upper right quadrant pain. Meagan: Yes. Yeah. Caylee: Those are very common and some people also experience jaundice. Meagan: I was going to say yellowing, jaundice. Decreased appetite. Caylee: Yeah. You’re more likely to get preeclampsia and gestational diabetes. Yeah. Meagan: Mhmm, yeah. So nausea, feeling unwell, dark urine, lack of urine output which a lot of the time, dark urine is the beginning of that. Your kidneys are warning you and then you stop. Yeah. I had a client, not the one I was telling you about, but another client. She said that her bowels like her poop smelled really weird, like abnormal. Caylee: Yeah, I’ve heard that before too. Meagan: Yeah. That’s the first time when she was like– that was actually one of her first symptoms that she noticed. Thinking back, she was like, “Yeah, I guess I was kind of itchy, but I wasn’t itchy-itchy until later.” But that was one of the things where she was like, “I just thought I ate something weird.” Caylee: Yeah. Meagan: A decreased appetite. Pain in your belly and your quadrants, jaundice, and of course, itching. Those are the main signs. Caylee: Itching. And the severity of the itching can vary greatly between cases so the first time, it was quite mild and then it progressively got worse throughout my pregnancies. That’s different for everyone who experiences that so if you have any itching, you should ask for LST’s and bile acid tests from your provider. Itching can also precede the bile acids rising and the elevated bile acids is what’s dangerous for the baby. It increases the risks in the baby where they might pass meconium before birth and also stillbirth risk goes up a lot if the bile acids are above 40. Meagan: Too high, yeah. So when you are pregnant, if you are having symptoms, definitely go in and get checked like she said. Get these tests. Then if you have cholestasis, if you test positive and things are looking like you have it, it is something that may increase extra testing and extra visits because you do want to keep a close eye on this. Again, like she said in the beginning, it’s really rare. Even right here, it shows on this link that I’m going to put in the show notes, it’s from the Cleveland Clinic, but it shows 1-2 in 1000 people during pregnancy will experience this. It’s pretty low, but it can be a serious thing. Also, I was going to ask you because I know my clients have in the past. They’ve been given some things to try and control, to minimize, to control, to lower things to try and continue pregnancy to a good, safe term stage. Were you given anything like that? Caylee: Yeah. I was put on a medication called Ursodiol. It helps lower bile acids to make it a little bit safer for the baby so you can continue. With my last pregnancy, they were very severe levels. They were over 100 so it was kind of touch and go there whether we could get him to 36 weeks or not. They were talking about inducing me at 34 weeks. We ended up opting for non-stress tests and biophysical profile ultrasounds just to keep an eye on him. Meagan: And he did well? Caylee: He was doing well. He had already passed meconium sometime before I was induced though at 36 weeks. It was time for him to come out. He was already in distress so it was good that we did end up taking him out at 36 weeks, but he did great. Really great. Meagan: Good. Good. That’s another thing I would like to drop in and note that if you do have cholestasis, it may be something that brings you to something like an induction that is earlier than expected. Obviously here, we’re going to share this story in just a second about VBAC and induction. It’s possible and totally doable, but that is a thing. Cause of CholestasisMeagan: She’s mentioning bile. It is in the liver, right? Am I correct? It’s in the liver.