The VBAC Link

“Hospital Policy means the principles, rules, and guidelines adopted by the Hospital, which may be amended, changed, or superseded from time to time.”Julie and Meagan break down hospital policies today, especially common ones you’ll hear when it comes to VBAC. They chat all about VBAC agreement forms and policies surrounding continuous fetal monitoring, induction, and epidurals. Women of Strength, hospital policies are not law. They vary drastically from hospital to hospital. Some are evidence-based. Some are convenience-based. Do your research now to make sure you are not surprised by policies you are not comfortable with during labor!Defining Hospital PolicyBirth Rights ArticleNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, everybody. We are going to be talking about policies today. What do they mean? Why are they created? And when do we have the right to say no or do we have the right to say no?And I have Julie discussing this with me today. Hey. Julie: You know I’m a policy fighter. Meagan: Yes, we do. We do. The longer I have gone– in the beginning, I was not a policy fighter. I really wasn’t. I was a go-with-the-flow, sure, okay, let’s do it, you know best. That’s really how I was. Julie: A lot of people are. Meagan: That’s true. I think a lot of the time, it’s because we don’t know what our options are. We just don’t know, so I’m really excited to get into this with you today. I always love it because we kind of get into this spicy mood sometimes when we have topics like this that we are very passionate about. We are going to be talking about policies today. I do have a Review of the Week, and this is actually a very recent review which is so fun. We just posted on our social media for Google reviews. We were specifically looking for Google reviews and podcast reviews. These are so, so important for us but also for other people to find this platform. We want people to hear these stories. We want people to feel inspired and get educated and know their rights. Your reviews truly do matter, so if you have not yet, please, please, please do so. You can leave a review on your podcast platform, or you can go over to Google and just type in “The VBAC Link”, and then you can type in a review there. This reviewer is by Savannah, and she says, “I started listening to The VBAC Link Podcast around 16 weeks pregnant and continued throughout y pregnancy. It was so good and encouraging for me as a mama who was preparing for my VBAC. It helped me gain confidence, helped me know what to look for, and what to watch out for in my providers. Hearing others’ stories was so encouraging and helped me gain so much knowledge. I had my hospital VBAC unmedicated with my 8-pound, 15-ounce baby.” You guys, 8-pound, 15-ounce baby is a perfect-sized baby let me just say. “And I know that the knowledge I gained from this podcast played a huge role in being able to advocate for myself to get my birth outcome.” Huge congrats, Savannah, on your beautiful VBAC for your perfect-sized baby. I say that because you guys, let’s get rid of the “big baby” term. Let’s just title these babies as perfect-sized because an 8-pound, 15-ounce baby for some providers may be categorized as larger or maybe even macrosomic. it’s really important to know that your baby is the perfect size and your pelvis is amazing. You can do it just like our reviewer, Savannah. Julie: Your pelvis is amazing. Meagan: Seriously. All right, you cutie. Look at you. Did you just get a haircut, by the way?Julie: I did, yesterday. It’s a little short. We did some color. It’s a little smidgey shorter, but then I think I wanted it to still go in a low ponytail for births. That was my goal. Meagan: I’m totally digging it. Julie: Thank you.Meagan: I should be having fresh hair, but my cute hair lady bailed on me the morning of my hair appointment. Julie: Oh no! Meagan: Sometimes we have matching nails, but we would have had matching nails. We don’t have them today. You guys, we just miss each other. I miss you. Julie: Yeah. We need to go to lunch again. Meagan: We do. Yes. We love shopping, you guys. Let’s talk about hospital policies. Julie: Let’s do it. Meagan: We know that so many people go into– not even just birth, but really a lot of things in the medical world. They just go to a doctor’s office visit or go to a small procedure, or whatever it may be, and these places have policies. I want to talk about what it means. What does a hospital policy mean? What is the definition? The definition, according to lawinsider.com, says, “Hospital policy means the principals, rules, and guidelines adopted by a hospital which may be amended, changed, or superseded from time to time.” Julie: Oh, I love that addition. Amended, changed, or superseded. Meagan: Yep. Julie: Yeah. Meagan: Yeah. It can. Julie: And it does. Meagan: And it does. It does. Julie: It does. Meagan: You guys, let’s just start off right now with the fact of a hospital policy– or a policy, okay? A policy in general is not law. It is not law. If you decide to decline a hospital policy– Julie: It is well within your rights. Meagan: Well within your rights. You could get some kickback. You could probably expect it. Julie: You probably will. Meagan: But, that’s okay. That’s okay. My biggest advice is if you are receiving or being told that this is a hospital policy, and you disagree with the policy, or maybe you agree with the policy for someone else, but for you, it’s not working, and you say no, and they say, “Well, –”Julie: “It’s hospital policy.” Meagan: “This policy is policy, and if you choose to break it, then you can sign an AMA.” Julie: You are so funny. “This policy is policy.” It’s like that though. Meagan: That’s literally what they say. Julie: They say, “It’s hospital policy.” And you say, “Well, I don’t agree with that policy.” “Well, it’s hospital policy.”Meagan: “Well, it’s policy.” Okay. Well, I’m telling you I don’t like your stupid policy. Julie: I don’t like your stupid policy. We are spicy, huh? Meagan: I mean it, though. I think I maybe shared this a little bit, but I had a client who had a home birth planned. She decided to go to the hospital because she had preeclampsia, and this nurse was not giving her her baby. She kept saying, “It’s policy. It’s policy. It’s policy.” I was like, “This mom’s word trumps your policy.” As a doula, I was getting into some rocky, choppy waters I was feeling. I could just feel the tension building. It did not feel comfortable at all. I looked at my client. Julie: You’re just like, “Give her her doggone baby.” Meagan: They could kick me out. They could. I need you to know that they really could kick me out. She was like, “That’s okay. I want my baby.” So I pushed. I pushed. I pushed and I pushed. We did get her her baby, but we had to fight. We really, really, really had to fight, and it sucks. It really, really sucks. So there is a website called pregnancyjusticeus.org. We’re going to have this. I have not actually gone through all of it. It is– how many pages is this, Julie? It is a lot of pages. It is 65 pages, you guys. It’s 65 pages of birthright information, going through a lot. Julie: It will be linked in the show notes. Meagan: Yes, it sure will. If you want to go through this, I highly encourage it. It is from Birth Rights and Birth Rights Bar Association, the National Advocates for Pregnant Women. Like I said, it’s 65 pages, but what they said in here I just think is so powerful. It says, “There is no point in pregnancy in which people lose their civil and human rights, and yet all over the world, people often experience mistreatment and violations of their rights during pregnancy and birth and postpartum.” We see these things. Julie: You need to make that a social media post. People need to know this. Meagan: Yes. Down here even further, it says, “We also know that doulas and other people providing support to pregnant and birthing people often bear witness to rights violation of clients of loved ones. In a recent survey, 65% of doulas and nurses indicated that they had witnessed providers occasionally or “often” engage in procedures explicitly against their patients’ wishes.” This is a serious issue. Julie: It is a serious issue. I feel like it’s really frustrating, especially as a birth photographer where my lines as a doula are very separate, but I always doula a little bit at every birth I go to. It’s not hands-on stuff always, but it’s hard when you see people getting taken advantage of and they don’t know they are being taken advantage of and they don’t know that they have options or choices and they don’t know that they can decline or request changes, and that’s probably the hardest part is that people just don’t know. I have a little tangent, but I’m in this Facebook support group for this medication that I’m on. It really amazes me continuously about how little people know about a medication that they are taking, a pretty serious medication that they are taking, and how little their doctors inform them of what the medication is and what some of the side effects and issues are, and what they can reasonably expect from it because some people have completely unreasonable expectations because they haven’t dug into it at all. The other day, somebody said something like, “I’ve been really, really tired and fatigued since I started this medication, but I called my doctor and she said that fatigue is not a common side effect with this medication,” and I’m like, “What?” It’s literally listed on the manufacturer’s website that it’s a side effect. It’s listed on the insert for the medication. It’s talked about all the time in this Facebook group, and it can be caused by a number of things that this medication affects. The fact that either her doctor didn’t know or just told her– anyway, it leads me. I promise there’s a point to this. It leads me to the fact that your doctor does not know everythi

“Getting that VBAC meant everything to me. It helped so much with the trauma of it all.”At 36 weeks along with her first, Ashley started to have intense carpal tunnel pain. At 38 weeks, it was unbearable. Her provider said that delivery would be the only way to find relief and recommended a 39-week induction. Ashley had a difficult labor and pushing experience. Her provider recommended a C-section due to a cervical lip and no progress after just an hour and a half. Ashley consented and felt defeated. She started her VBAC prep the day she got home from the hospital. At 29 weeks with her second, Ashley had plans for a beautiful trip to Saint Thomas with her husband and toddler. She began contracting the night before her flight but didn’t think much of it and made it to their gate– while still contracting. As the plane was boarding, she passed a blood clot in the airport. She knew she needed to go to the hospital. In spite of many interventions trying to stop labor, Ashley birthed her baby via VBAC just hours later. She later learned that she had a possible placental abruption that wasn’t detected until her doctor examined her placenta after delivery. Though Ashley’s postpartum experience was tough balancing life with a newborn in the NICU for 8 weeks while having a toddler at home, the victory of having a VBAC carried her through. The power of a positive birth experience is real and worth fighting for!Pregnancy-Related Carpal Tunnel ArticleHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. It is Meagan with my friend, Ashley. Hello, Ashley. Ashley: Hi. Meagan: How are you today? Ashley: I am good. How are you doing?Meagan: I am doing great. I’m loving all of the stories we are recording and so excited to hear yours. You have a more unique VBAC in the sense that it was a very premature VBAC. Ashley: Mhmm, yep. Meagan: Yes. We are going to talk a little bit more about that. You’re going to share information for NICU moms because your baby did go to the NICU. You are a mom of two and a children’s therapist. Can you tell us a little bit more about what you do for work? Ashley: Yeah. I work with kids ages 4-18. Right now, I’m Telehealth only. I actually work in Tooele, Utah, but I live in North Carolina. Everything is Telehealth. It happened with COVID. I was out there during COVID. We moved and continued to do Telehealth since I’ve moved. I really only see 10 and up at this point. Yeah. I see a lot of teenagers all through Telehealth and it’s really wonderful that I get to keep that up. Meagan: That’s so awesome. That’s awesome that you got to keep doing it, and that you are serving our children. I’m sure that you have lots to say about our children and their mental health that is going on out there, but there is a lot. It is a lot of these kiddos of ours. Ashley: Absolutely, yeah. It’s hard and challenging, but it’s also really wonderful and rewarding. I love that I get to do it. Meagan: Yeah. Well, thank you so much for all of your hard work out there. Ashley: Yeah, absolutely. Meagan: We do have a Review of the Week, so I want to get into that, then I really want to turn the time over to share both of these journeys. This review is from Sienna. It says, “After having a very hard conversation with my OB where I learned she was in fact not VBAC tolerant or friendly, I texted my best friend through tears pouring down my face and she immediately sent me a text back with The VBAC Link Podcast. Ever since, I have been listening to every episode of the podcast. It is so beyond helpful and inspiring for anyone preparing for a VBAC. I’m due at the September, and have made the goal to listen to every single episode before then. I can’t say enough for what Meagan and Julie are doing for women like me. I can’t wait to rock my VBAC.” Oh, I love that review. Thank you so much, Sienna, and I can’t wait for you to have an incredible VBAC. Way to go for realizing that your provider may not be the right provider for you. I think there are so many people who walk through the VBAC journey who think they may have a supportive provider, then at the very last minute, they are having those conversations and realizing, “Oh, shoot. I may not be in the right place.” It is okay to switch and keep interviewing and discussing with your provider. If your provider doesn’t feel like talking to you about your VBAC or says, “You’ve got months to go. We don’t need to talk about that right now,” those might be red flags and things you might want to reconsider. Thank you, Sienna, for your review. If you haven’t yet, please leave a review. You can Google us at “The VBAC Link” or you can leave it on the podcast platform that you are listening to us on.  Okay, Ashley. Thank you again so much for being here with us. Ashley: Yeah, absolutely. I’m so happy to be here. I never thought I would be. When I was preparing for my VBAC, I was listening every single day during my walks and I just thought, “Oh, if I get a VBAC, that would be wonderful,” but I never thought I would ever be on the show. It’s crazy and wild to be here. Meagan: I love it. The more and more that we record, we learn that it goes full circle. We’re in your ear all pregnancy with all these Women of Strength sharing their stories, inspiring you, building you up, and now, here you are inspiring and building others up as well. Ashley: Yeah. Yeah. It’s cool to be here. Do you want me to talk about my first?Meagan: Yeah. Yeah. Every VBAC starts with a C-section, so let’s start with your C-section story. Ashley: Yeah, for sure. For my first birth with my son, it was a pretty easy pregnancy for the most part. There were a couple of hiccups here and there. I had morning sickness in the beginning in the first trimester, but everything else was pretty smooth. At 13 weeks, I had a spell where I had a lot of bleeding. That was terrifying. I thought I was miscarrying. I called my provider and panicked. That was just the worst 4 hours of my life because I continuously bleed. They finally got me in for an ultrasound. They checked me and he was just really active and bouncing. They never knew why it happened, but I was fine. Meagan: Did they ever say anything about a subchorionic hematoma or anything like that?Ashley: That kind of sounds familiar, so that could have been it for sure, but I don’t remember. But it stopped. After my ultrasound, the bleeding was done, and everything was fine. It was the weirdest thing, but definitely so scary. Yeah, it was terrifying. That was bad, and after that, after the first trimester, my morning sickness went away and everything was good for the most part. What happened though, I took birth classes. I took breastfeeding classes. I didn’t do a ton of research. I just took my little birth class, and I thought that was enough. I actually think I skipped the C-section part. I was like, “I’m not going to need that.” I don’t know why I was so weirdly confident that I was going to be able to have a vaginal birth, but it literally was something that I’m like, “I’m good,” and I didn’t put much thought into it. I don’t know why I did that. Meagan: A lot of people do. It’s not what we want. It’s not what we think is going to happen, so we just push it aside. Ashley: Yeah. Yeah. I didn’t do any research at all, so I didn’t need to know about that. I didn’t want it obviously, so yeah. Everything was good until about 36 weeks I would say. I started to get carpal tunnel and it just got progressively worse and worse. It was bad. The last month of my pregnancy, it was unbearable. My fingers and wrists were numb 24/7. It was waking me up at night how painful my hands and fingers were. I couldn’t do little things. I couldn’t put a necklace on anymore. I couldn’t put my earrings in because I couldn’t use my fingers. It was so bad, and it was something I didn’t know happened. It was pregnancy-induced carpal tunnel. I had so much swelling in my body. That’s what they said it was. My midwife who I had found and really loved, she referred me to PT. I did that. I did wrist braces every night, and nothing helped. I kind of knew that was going to happen just doing some research. They say the only thing that gets rid of it is delivering your baby basically. Meagan: Do they know why it really starts? Is it something within the blood flow? Do we know? We don’t know. Ashley: I don’t know. My midwife just chalked it up to the swelling. My carpal tunnel was being squeezed by the swelling. I’m pretty petite as is, and then I was carrying so much water and so much weight that I think for me, my body just didn’t respond well. I had the carpal tunnel. That was at 36 weeks when it started getting pretty bad. There wasn’t a lot we could do about it. I really didn’t want to have an induction. I didn’t know much about it either. I didn’t do a ton of research, but I knew I didn’t want it. I just knew I wanted it to all go as naturally as possible and for my baby to come on his own timeline. By 38 weeks, I was miserable. I was like, “I don’t think I can do this.” I was pretty big and uncomfortable, but that wasn’t the part that was killing me. It was the carpal tunnel. It was bad. My provider said that we could do the membrane sweep each week. We did it at 38 weeks. We did it at 39 weeks, and we decided that if nothing happened after my second sweep, we would think about an induction. I was ready. I had to stop working a week before I even wanted to because I couldn’t type anymore. It hurt to type, and I do a lot of assessments with my job where I am typing all of the time, using my mouse and keyboard. It was just awful. We did the membrane sweep at 39 weeks and nothing happened. I was curb walking. I was eating the dates. I was doing the things and drinking the tea. Nothing. So at 39+5, I got admitted for my induction at 8:00 PM. They did a Foley bulb, then they did the Cervadil I believe. That was all fine. I think they also gave me morphine

Anni is a mom of two young girls living in Okinawa, Japan where her husband is stationed with the Marine Corps. In addition to her work as a non-profit grant writer, she volunteers with the Military Birth Resource Network and Postpartum Coalition and hosts their podcast, Military Birth Talk. A big challenge for military parents is creating care plans for older children during birth. They often live far away from family or have recently moved and don’t have a village yet. Anni’s care plan was shaken up as her induction kept getting pushed back and conflicted with her family’s travels.Though her plans changed, Anni was able to go into spontaneous labor and avoid the induction she didn’t really want! Her VBAC was powerful and all went smoothly. She was amazed at the difference in her recovery. Another fun part of Anni’s episode– she connected and met up with two other VBAC mamas living in Okinawa through our VBAC Link Facebook Community! We love hearing how TVL has helped you build virtual and in-person villages. Military Birth Resource Network and Postpartum CoalitionHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. You are listening to The VBAC Link, and I am with my friend, Anni, today sharing her stories. Anni is one of our military mamas. This is the final episode of the week of military episodes. So even though it is a little bit after Veteran’s Day, that’s okay. We are celebrating our military mamas today. Welcome to the show, Anni. Anni: Thank you so much. I’m so excited to be here this week. Meagan: Me too. I also can’t believe that you are here right now. We were just chatting before the podcast about time. You guys, it is 4:50 AM where she is at. I just can’t even believe it. You’re in Japan. Anni: Yeah. We live in Okinawa, so I’ve got to do stuff at weird times if I want to stay in touch with anybody in the States. It’s the military thing. Meagan: Oh my goodness. Yes. She is in Japan. She is a mom of two young girls and like she said, she is living in Okinawa, Japan where her husband is stationed with the Marine Corps. Her personal values are community, joy, purpose, and creativity which all drive how she spends her time. In addition to her work as a non-profit grant writer, she also volunteers with the Military Birth Resource Network and hosts their podcast, Military Birth Talk. So mamas, if you are a military mom, and I’m sure a lot of people are flocking to these episodes this week, go listen to Military Birth Talk. Can you tell us a little bit more about Military Birth Talk? Anni: Yeah. So as you said, it’s a part of the non-profit Military Birth Resource Network and Postpartum Coalition, so MBRNPC for short. That’s an organization that provides resources for military families who are in the perinatal stage of life, so if you’ve just moved to a new duty station and you’re like, “Oh, I need a doula who’s covered by Tricare,” you can go to their website and reach out to one of their chapter leaders. They provide that kind of resource. Also, there is sort of an advocacy wing of the organization that works on policy changes impacting military families. This is our podcast, Military Birth Talk. Right now, we’re featuring mostly just military birth stories, but we’re in our third season and this season, we’re going to be adding some additional episodes like policy conversations, interviews with experts, and that kind of thing. So, as you said, if you’re a military-affiliated person listening and you want to hear some firsthand accounts of what it’s like to give birth within the military healthcare system, we’d love for you to tune in. Meagan: I love it. Thank you so much for doing that and explaining more. Anni: Yeah. Meagan: I just can’t wait for you to share your stories. I do have a Review of the Week, and then we’ll jump right in. Today’s review is by RiverW88. It says, “Gives me hope.” It says, “As a mama who had an unnecessary Cesarean and a poorly planned VBAC attempt that failed and resulted in a Cesarean, listening to these stories and information gives me hope for the future. Not only do I hope to have a third baby and a successful VBAC, but as a doula and an experienced birth photographer, I cannot wait to support other women through their VBAC journeys. I look forward to sending my clients to your website and podcast, and not too far in the future, take your VBAC doula course for myself. I love the way you present facts and inform while giving mamas a platform to share positive stories about a topic that is so scary for so many people thanks to the lack of education out there.” Oh my goodness, that is so true. There is such a lack of education out there and that is why we created the VBAC course that we did and the VBAC doula certification course. So, if you are a parent looking to up your game for VBAC, or if you are looking as a doula to learn more about supporting clients who are wanting a VBAC, definitely check us out at thevbaclink.com.Okay, Anni. Let’s jump in. Anni: All right. So I am excited to share two birth stories. I’ll focus mostly on my VBAC since that’s why we are all here, but I’ll give a little bit of context about my first birth. It was pretty routine honestly. I had a breech baby, and there were no breech vaginal birth providers in my area at the time, so that’s the spark notes version. But to give a little bit more context, at the time, we were stationed in North Carolina in Newburn, North Carolina. There are a few providers out there, but not a ton. It’s sort of remote-ish, but because my husband is in the Marine Corps, we were a little bit limited. I actually was on Tricare Select at the time, so for those of you listening out there who aren’t familiar with military healthcare, as a spouse, you can be on Tricare Select which is where you get to choose your own provider. You don’t have to be seen by the military healthcare system. You pay a little bit extra. Or, you can be on Tricare Prime which is completely free, but you have to be seen within the military network. I was on Select at the time, so I was paying a little bit extra to choose my own provider which is kind of funny because there was really only one provider in that town anyway. This is one of the reasons why flash forward to a few years later, I wanted to be a part of the Military Birth Talk podcast because we often as military families get a lot of advice that doesn’t really fit our life. One of those pieces of advice is to pick your own provider. Do whatever you can to pick your own provider. Sometimes, that’s just not possible. That’s just not true for military families, right? It can be true for a number of reasons, but it’s very true for military families, so choosing my own provider was not really that possible given where we were located. That didn’t really come into play until the end when I found out that our baby was breech. Generally, the pregnancy was great. It was a really empowering, positive experience for me. I loved learning about birth. I really hadn’t been involved at all in the “birth world” until I became pregnant, then I totally immersed myself. I was super excited to give birth. I was super excited for all of the little quirky things like going into labor and my water breaking, seeing my mucus plug come out, and all of the birth nerd things that I had heard people talk about on all of the podcasts like this one that I had been listening to throughout my pregnancy. It was a pretty routine, positive pregnancy. About halfway through, we found out that we would be moving to Kansas at about 6 weeks postpartum. This is another one of those military things that people would say, “Oh, enjoy nesting and have a really quiet, peaceful postpartum.” I was like, “Okay, that goes out the window. Our house will be packed up by the time the baby is born,” because with the military, you have to send stuff super early. There was no nesting, no quiet postpartum period. There was a cross-country drive at 6 weeks postpartum. That was my first wake-up call around how birthing within the military community can be unique. Up until then, because I was on Tricare Select, I was like, “Oh, I’m not really a part of this military thing when it comes to my healthcare.” That started to shift around then. Then around 36 weeks, we got a scan and found out that the baby was breech. I was so upset. I had just spent the whole pregnancy looking forward to this experience that I now wasn’t going to have. It felt like I had been studying for a test or preparing for a final exam that now I wasn’t going to get to take. That’s obviously not true at all, but emotionally, that’s how it had felt. I had gotten so excited about the possibility of seeing what my body could do. It almost felt like I had a sports car and now I was going to be forced to drive it in automatic or something. It just felt like I wasn’t getting a chance to experience this thing that I had gotten so excited about. We were really upset, and my husband was too because he had gotten really excited about being able to support me in labor and all of those things. We decided not to do an ECV. I’m sure your listeners all know what that is. Partially, it was because I wasn’t a great candidate for it. My placenta was anterior, so that increased the possibility of an emergency outcome. I had a high volume of amniotic fluid, so that also decreases the chances of success, and the position that the baby was in, she was completely breech. She wasn’t transverse. She was totally in the wrong position. We were like, “I think we’re not great candidates. Let’s not do it.” We just booked the C-section. The C-section was fine. It wasn’t traumatic, but especially now having had my VBAC and being able to compare the two, it wasn’t a great day. I had surgery, anesthesia, and felt nauseous all day, I couldn’t really hold the baby until 9:00 that night. The silver lining of that, I would say, is that my husband got to spen

Nicole is a military spouse who had her VBAC in England. She shares what it was like to unexpectedly move overseas during pregnancy, how she navigated not receiving her household goods in time, and how she made the choice to deliver on base versus off. Nicole’s first birth was a Cesarean during the height of COVID. During pushing, she was required to pause, take a COVID test, and wait an hour for the results or risk being separated from her baby after birth. Labor had gone smoothly up until that point, and Nicole knew something had changed after the pause. Things felt different, progress stalled, and ultimately Nicole consented to the Cesarean. Her VBAC was a surprisingly wild precipitous birth with only 2 hours between her first contraction and pushing the baby out! Meagan and Nicole discuss the unique challenges of precipitous births and how important it is to hold space for every birth experience. Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. Welcome to The VBAC Link. Today is Veteran’s Day. If you are just joining us this month for the very first time, then welcome to your first specialized episode week. I don’t even know what to call it. What would you call this, Nicole? I don’t even know. Nicole: A one-of-a-kind situation. Meagan: Last month in October, we had Midwifery Week and now we have Veterans. Nicole is the wife of a Servicemember and she definitely and experience that I think a lot of military members and moms experience and people don’t think about it. I don’t think about that. When I was having my baby, it was like, Which hospital should I go to? There are 10-15 right around me. Then you’re like, “Oh, hey. I’m pregnant and now I’m moving overseas.” You know? I think it’s something that we just don’t think about. It’s fun to have it be Veteran’s Day and to have a Servicemember’s wife sharing your story today. We might even talk a little bit about navigating the military healthcare system and what choices you made. We learned a little bit about that before we started recording. We’ve got her amazing story today. Where are you right now?Nicole: I’m in England right now. Meagan: You are in England, okay. And that’s where you had your baby. Nicole: Yes. Meagan: Awesome. So England mamas, definitely listen up for sure. All mamas, really. We do have a Review of the Week so I’m going to get into that then we’ll start with your first story. This is from Roxyrutt and it says, “Inspiring”. It says, “Listening to these podcasts has been truly inspiring and I have been on my own hopeful VBAC journey. Listening to other stories has been incredibly helpful in my mental preparation.” We were just talking about that before we started recording as well just how impactful these stories can be for anyone but especially during your VBAC journey. It says, “My due date is April 17th this month–” so this is obviously a little while ago. It says, “I’m hoping to have my own VBAC story to share. Thank you all for what you do.” Thank you so much, Roxyrutt, for sharing your review. As always, we love your reviews. You can email them to us at info@thevbaclink.com or you can comment “Review” on your podcast. I think it’s on Apple Podcasts, Spotify– I don’t know if Google allows reviews. You might just have to do a rating. But wherever you listen to your podcasts, if you can leave a review, please do so. Okay, Nicole. Let’s get going on your stories. I seriously thank you so much for joining me today. Nicole: Oh, thank you so much for having me. Like we mentioned before we started recording, this podcast has been extremely inspirational to me and it really led me to having the VBAC of my dreams. Meagan: And you had a precipitous VBAC, right? Did you have a pretty precipitous VBAC if I’m remembering right? It was 2 hours or something?Nicole: Yeah. It was so quick. Meagan: Okay. We are going to talk about that. Don’t let me forget about that in the end. It is something that we don’t talk about a lot. Most people think about birth being a long time. Nicole: Yeah. Meagan: Yeah. Precipitous birth can come out of left field and I want to talk about that. But first of course, every VBAC starts with a C-section so let’s hear about your first.Nicole: Okay, yeah. So I had my first in June 2020 so literally right as the world was shutting down. Everybody was terrified with reason, right? I go in. I remember I had my baby shower planned and everything was planning and everything was canceled. I just felt depleted and I was scared. I remember watching videos on how to have a birth and what to do and all of the birthing videos and there was like, “Here’s a segment on if you have a C-section.” I was like, That will never be me. I don’t have to watch this because that will never happen. That is not in my cards. That is not in my birthing plan I typed up and had signed. That is not in my cards. So I decided with my doctor that I wanted to be induced and I said at 40 weeks I had done my time. Get this baby out of me. I had committed to 40 weeks because she kept saying, “Well, we can do it at 38 weeks if you’re comfortable or 39 weeks.” I was like, “Nope. I will do it until 40 weeks. I’ve done my time. At this point, this baby is evicted.” On June 20th, I went in for my induction. Everything went smoothly. I was progressing but not as fast as they would like so we started Pitocin. That went well. I was doing really well and all of a sudden they were like, “I think we need to break your water.” I had heard horror stories about your water breaking and it’s super painful and you’re miserable after it. So I was like, “Well, let’s get the epidural because why would I put myself through that if they have the option to make this smooth and comfortable? Why would I sit there and not be comfortable during this?” So I got the epidural and I just laid there. I laid in bed for a really long time then at about 3:00 in the morning, I got the urge to push. I let the nurses know. They checked. They said I was at 10 centimeters. Everything was good to go. They came in at about 3:10 and I started pushing. I pushed until about 6:00 AM. At that point, at about 5:00 AM, I started getting really hot. I noticed that they had turned the temperature in the room up obviously for baby. I started getting really overwhelmed and really hot. I started to throw up. My doctor turned down the temperature. She was like, “Let’s turn down the temperature. I feel like you’re just getting hot.” I was like, “I’m just hot. I just don’t feel so good. I’m just hot.” They turned the temperature down then a new NICU nurse came in and she turned it up. I was watching her turn it up and I was just so uncomfortable. I started throwing up again and they were like, “Well, we need to pause because everything you’re doing is an epidural symptom but it’s also a symptom of COVID so we’re going to stop you because we have to test you. You can either continue to push–”Meagan: We have to test you.Nicole: Yeah. I had gotten tested before I went in and then during my labor 3 hours in of pushing, they literally stopped me and said, “We need to do a COVID test.” I did a COVID test and it was crazy. You see all of these doctors in scrubs and masks and then all of a sudden they come in in these inflatable suits and everybody has these– which is more terrifying. I’m already scared. Meagan: Yeah, talk about invading your space. Nicole: Yeah, then you’re telling me that I have an hour until this test comes back. I can either continue to push but if I push and have my baby, you’re immediately going to take her away until my results come back or I can pause, not push for the hour and just let my body do it naturally and then resume pushing if my test comes back negative and I can continue to have skin on skin and the one-on-one time with my baby. Meagan: Hashtag, eye roll. Nicole: Yeah. So during that time, I was pushing well up until the COVID test. My baby was descending correctly. I stopped. I waited an hour and something shifted to where she then twisted a little bit and she– once my test came back negative and I was able to push again– was getting stuck on my pelvic bone and I could not get her out. They were tying blankets together and my husband would hold one end of the blanket and I would push and pull the end of the blanket as hard as I could to try and get her down. I was doing everything to push this baby out. Nothing was working. I started to develop preeclampsia so that was red flag number one. Then my baby’s heart rate started to drop in between each contraction which I guess means that it could be around the neck and it’s more concerning if it’s between contractions versus during the contraction. So after her heart rate started dropping and continuously dropped, they decided to call it an emergency C-section. I just remember feeling devastated. I remember shouting– not shouting, but crying to my husband, “I don’t want this. I don’t want a C-section.” My doctor was like, “I have to hear it from you that you are okay to have the C-section.” I was like, “I mean, I guess if that’s the only way to get this baby out but I don’t want it.” I remember feeling the pain from my C-section and feeling so depleted. I pushed from 3:00 to 6:00 then I stopped for an hour. We resumed at 7:00. We pushed from 7:00 to 9:00 and then they called the emergency C-section and I had her at 9:36. It was a lot and I was pushing hard. I just remember getting back to the room, because my mother-in-law was there, and saying, “I haven’t held her yet.” I didn’t want anybody to hold the baby without me holding her first. I had heard stories of people who were like, “Everybody in my family got to hold the baby before I held my baby.” I just remember crying and I cried for weeks. I just felt like my body gave up on me. My recovery was terrible and that’s what my doctor kept saying. She was like, “You have both recoveries. You pushed for so long that you’re recov

After having an HSG (hysterosalpingogram) due to infertility, Wyn was diagnosed with having a left-sided unicornuate uterus. A unicornuate uterus is a rare condition in which the uterus is smaller than normal and only has one fallopian tube. Common complications from a unicornuate uterus include infertility, IUGR (intrauterine growth restriction), and preterm labor. Wyn had two unsuccessful IVF treatments followed by two miraculous natural pregnancies! Her first pregnancy ended in an unexpected Cesarean due to a fever and tachycardia in her baby. Her placenta was difficult to remove during the surgery and she was told she had placenta accreta. The OB who performed her surgery also said she had “very interesting reproductive anatomy”.Wyn deeply longed for the opportunity to try for a VBAC and experience physiological birth. Her original midwife supported her decision to VBAC and Wyn made sure to prepare physically and emotionally. At 41 weeks and 1 day, she went into spontaneous labor, declined cervical checks and other interventions she wasn’t comfortable with, consented to the things she felt good about, and pushed her baby out soon after arriving at the hospital. Wyn also shares her experience with taking Needed products during her pregnancy and postpartum period this time around. Her strongest advice for other women preparing for VBAC is to find a supportive team and really listen to what your intuition is telling you to do. Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to the show. We have our friend, Wyn, from Alaska with us today. She’s going to be sharing her VBAC story and Wyn has a pretty unique– and maybe Wyn, you can tell me more. Maybe it’s not as unique as it feels but a pretty unique situation where you had a diagnosis of a unicornuate uterus. Tell us a little bit more about that. I feel like we hear some uterine abnormalities. I’m quoting it where it’s bicornuate and all of these different things and people say, “Oh, you can’t have a vaginal delivery with this type of uterus or this shape of uterus,” but tell us more about what it means for you and what it meant for you back then. Wyn: Yeah, so they found it through an HSG test where they shoot dye up through your uterus and through your fallopian tubes. Basically, just one-half of my uterus formed. I guess when the uterus is forming, it’s two tubes that connect and open up so just the one half formed so I have a left-sided with a left fallopian tube. I have both ovaries so you can still conceive but there are less chances because you have just one side. Then once you get pregnant, there are higher chances of miscarriages because the blood flow is less. Intrauterine growth restriction and preterm labor are common and then a lot of time, the breech position is common as well. Meagan: With this one, you did experience IVF as well, right? Wyn: Yep. Meagan: Yeah, we’ll have to hear more about that too because there are a lot of people who are getting pregnant via IVF which is amazing but there are some things that come with IVF as well. So we want to talk a little bit more about that before we get too deep into things. I do want to do a Review of the Week, then we’ll let Wyn start sharing away. This review is from I think it’s Amir, I think. It says, “This podcast was my constant source of reassurance and inspiring stories throughout my last two pregnancies. I achieved my VBAC in 2021 and was so empowered with so much knowledge and mental strength going into this birth because of The VBAC Link. I had my second section in 2022 which was not what I wished for but I do plan on having more children and know that VBA2C (vaginal birth after two Cesareans) is a possibility for me because of this podcast. I continue to listen to your inspiring stories each time I hop in the car and I’m so grateful for all that you share. I hope to share my own redeeming story with you in time too.” Well, Amir, thank you so much for your review. I also wanted to mention that for Amir, not only does VBAC after two Cesareans apply, but there are even risks that are lower because she has had a vaginal birth. So if you have had a vaginal birth and then you want to go on to VBAC, your chances are even higher for a VBAC and lower for things like uterine rupture. I wanted to throw that tip out there. But if you have not left us a review yet, please do so. We love them so much. You can leave it on Google or wherever you listen to your podcasts or you can even email them. Okay, Wyn. Let’s get going into this story. Wyn: Okay, thank you. Thank you for having me. I feel like it’s come full circle. I listened to The VBAC Link Podcast a lot throughout my pregnancy and even before that and I still do today. So I hope that maybe a little detail from my story resonates with somebody and helps them as well. Meagan: 100%. Wyn: Yeah. A little back story, before I got pregnant, we did try for a while and my cycles were regular. I was healthy. I didn’t see anything wrong but we went in and got the test done with bloodwork and they suggested the HSG test. I saw my original OB then I had a second opinion with another one. Both said it was still possible but that IVF was probably going to be more likely. And of course, this is all happening in February and March of 2020. Meagan: Right as the world is in chaos. Wyn: Yeah, so I started researching IVF options. We live in Alaska so there isn’t a reproductive endocrinologist here and I found a clinic. Our closest option was Seattle or Portland. I found a clinic in Portland that was willing to work with us. In August 2020, I went down for my first transfer or egg retrieval and transfer. That was a chemical pregnancy or early miscarriage. But also, that was the closest I had ever been to being pregnant. It was a little bit hopeful at the same time. We regrouped and went down in October and had another transfer that didn’t take at all. We decided to take the rest of the year off and revisit it after the beginning of the year. That brings me to my first pregnancy which was a little miracle and I got pregnant the cycle after my failed transfer naturally without IVF. Meagan: Yay!Wyn: That was very exciting. I was a little bit in shock like, How can this happen? Because it had been a couple of years of trying. I went back to the second OB who I had a second opinion from. We didn’t really vibe very well. I went in early at 6 weeks because I was nervous and she was like, “Why are you here so early?” So I didn’t end up rebooking with her but I rebooked with a midwife who some of my friends had seen during their pregnancies and explained my situation and she got me in that week. We did an ultrasound and saw a little heartbeat. It was going well. She had me come in the next week too to just make sure things were progressing and everything was good. Meagan: Yay. So it was IVF treatment, IVF treatment, and spontaneous?Wyn: Yep. Meagan: Yay, that’s awesome. Wyn: It was pretty exciting and just gave me some renewed faith in my body too that maybe it could do it. Meagan: Yeah. Wyn: So pregnancy went smoothly. I felt great. I loved being pregnant and I was measuring small consistently from about 30 weeks on about 2-4 weeks behind. I wasn’t really worried about it because I figured I had a small uterus but they suggested a growth scan. I went ahead and did that and baby was all fine. She was small and we didn’t know it was a she. We didn’t find out but then my husband and I did some birth prep. We watched The Business of Being Born and that solidified my desire for a non-medicated birth. I was okay being in the hospital because there were unknowns with the uterus and I just wanted to experience it all. I wanted to experience everything without medication. I have a low tolerance to medication so I didn’t want anything to derail the birth. I made it to 40 weeks. I made it to my due date because it’s common that you go into preterm labor with a unicornuate uterus but I made it to my due date so that was exciting. I was feeling anxious to meet my baby but I was feeling good. I was just listening to whatever the midwife told me or suggested because I was a little bit nervous so she offered a membrane sweep and I thought, Okay, I’ll go ahead and do that. It’s not medicated. But still, it was an intervention that I learned later. Then we did a non-stress test at 40.5 weeks and she started suggesting induction. I went into my 41-week appointment and I still didn’t want to do any medication but she offered the Foley bulb which he offered to put in there at the office and I would just come back the next day if it didn’t come out or if it started things then it started labor. Meagan: Then great, yeah. Wyn: Yeah. She went to put it in and my water broke. Meagan: Oh, change of plans. Wyn: Yep. Yeah. It was just a trickle. It wasn’t huge. She sent us home and told us to rest and to come back in the next morning. Come in if labor progressed or come in the next morning to start more induction since my water was broken. I went home and relaxed. I woke up about 2:00 in the morning to my water fully breaking everywhere and contractions started pretty instantly. I had adrenaline and I didn’t ease into it. They were 5-6 minutes apart, full-on contractions. Within a couple of hours, they were closer like 3-4 minutes so we went ahead and went to the hospital. There was a lot of rushing around and a lot of nurses coming in and out. I was in my own little world. I was stuck on the bed because they wanted to have the fetal monitor on. I was holding on for the non-medicated. I declined the IV because I thought that would be that much easier. Meagan: Easier access, mhmm. Wyn: But I had spiked a temperature from my water breaking. I couldn’t keep any Tylenol down so we went ahead and did the IV which took over an hour to get in because I have bad veins and lots of people tried and they eventually got an ultraso

Meagan records a short and sweet episode for you today talking all about OP reports. What are they and why do you need them for your VBAC prep? How do you request them? If you have a hard time interpreting your OP reports, try reaching out to your provider for clarification. You can also send us an email at info@thevbaclink.com where you can schedule a one-on-one consultation with Meagan for extra help and encouragement!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everyone. It is Meagan today. We are going to be talking about OP reports. What is an OP report? Why do we want to get an OP report? How do we get an OP report and how long are OP reports available before they go away?We do have a Review of the Week so we are going to get into that and then I’m going to go over OP reports. This review is from Brittanyhenley9478. She says, “Such an amazing resource.” Her review says, “I am pregnant with my second baby and will try for a VBAC in 4 months. Since finding this podcast, I have learned so much and gained a lot of confidence in my decisions. I’m so thankful for the podcast, their Instagram, and the website. I can’t wait to come back and share my successful VBAC story with them later this year.” Brittany, if you are still listening to us and you are still with us, let us know how your birth went. I hope that it was amazing and thank you so much for your review. You guys, I say it every single week multiple times a week now, we love your reviews. I seriously love them so much. It makes me smile. It makes my heart so warm so if you have not yet left a review, would you mind doing that for me? I would love it and appreciate it so much. You can go to wherever you listen to your podcasts and leave us either a rating or a review. I know Apple Podcasts and Spotify actually I believe, allows you to do a written review or you can Google “The VBAC Link”. Remember VBAC is V-B-A-C, and then you can leave us a review there. That also helps people find the podcast, find the website, the blog, and even our Instagram account. As a reminder you guys, if you are just listening to the podcast, hello. Welcome. I am so glad that you are here but I also don’t want you to miss out on all of the other amazing resources that we have. We have our Instagram account and Facebook account. We have a private Facebook group. You can look that up at The VBAC Link Community on Facebook. You do have to answer some questions so answer those questions and then we can let you in. It is such a beautiful space with people who are really in the same place as you– wanting to know their options, wanting to know the evidence, and wanting to feel that community love during this journey. We have a YouTube account and we do have our blog and our website and we also have a course. You can find all of that at thevbaclink.com. You can enter in your email there. We can put you into our subscription where we send weekly emails on updated blogs, updated studies, tips, resources, and all of the amazing things that we feel is really important for you to know during your VBAC journey. Again, you can find that at thevbaclink.com and of course, you can check it all out for free and again, enter your email in and we will make sure to get you those weekly emails. Okay, I’m going to go really quickly today but I really feel this is such an important thing to know. It’s not something that I one, knew was even a choice that I could have or two, was something that I should do so I could really learn more and understand more of what my provider was saying about my births and the reasons why the births happened with my body and my post-recovery and all of these things. It’s so good to know what they are saying about your procedure and your Cesarean, your birth. So okay. Steps to get OP reports. There are multiple ways and I know since I started requesting my reports back in 2015, it has changed a lot. A lot of people have an online portal with your provider where you can get your labs and a lot of these things. A lot of the times, their OP reports are included in there or there is a little drop-down option where you can request your OP reports. So if you have that, I highly suggest trying that or you can call your provider and ask for your medical records and your OP report. Sometimes they don’t really have them and they don’t want to give them to you so they may make you go to the medical records department in the hospital. Now, that is what I had to do. I called my hospital that I gave birth at. It was the same hospital for both of my babies so if you have to go to multiple hospitals, definitely make phonecalls so you’re not running around. Give them a call and say, “Hi. I really want to request my OP reports. I’ve had a Cesarean. What do I need to do to get those?” For me, I had to go in and request them with a form. It took about 5 minutes. It was really quite quick and easy and it took about 15 minutes to print them out. They did give me a hard copy which I loved having so I could highlight and write down and everything. But these forms are so important for you to have so you can understand and then for me, I did it before I was pregnant and I used it so I could have this form with me as I was going to find my supportive provider so they could have a better, deeper understanding of what was said about me and my body and my reasoning for a Cesarean. I want to give you a little bit of a warning. Sometimes you’ll find different reasons from what you were told and that can be very frustrating so just a heads up there. Another thing that is important to remember is that every state is different. They don’t just have these medical records saved on file forever. Here in Utah, I was told that it was 7 years. I know that it varies all around. I know Arizona is 6 years. New York, I think, is 6 years. Florida is 8 years. California and Utah, like I said, I think is 7 years. So definitely get your records as soon as you can. Now, I know most people are having babies anywhere from 1-5 years apart but I do think the sooner the better you can get these records is just better. So again, check out the portal. Call your provider. Go to medical records. Do whatever you can to obtain these OP reports and if you have a hard time understanding them, they have all of these weird things in there, don’t hesitate to reach out to your provider and say, “What does this mean? What did you mean by this?” I have also done one-on-one consults with many people to go over and process their medical records and help them come up with a path for what their next step could be for their future births and VBAC. I’m no medical professional by any means but I have been doing this for years and love doing it so if you would like to learn more about a one-on-one consult, you can email us at info@thevbaclink.com. I would absolutely love to chat with you. Okay, everybody. Like I said, it was going to be short and sweet, but I really, really think it is important. If you are preparing for your VBAC, put this on the list of things to do. If you have just had a Cesarean, put that on the thing too to request. You don’t even have to look at it right now. It’s something you can have and put away but I do believe so much that it is important to have these and understand what our providers are saying and writing down about us. Okay, everybody. We’ll talk to you later. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan’s bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Rebekah’s first Cesarean was a birth center transfer after her baby boy unexpectedly flipped breech during labor. Though she was confident in her decision to consent to a Cesarean, she was devastated and left with a lot to process. Right away, Rebekah’s midwives instilled confidence that she was a great VBAC candidate and introduced her to The VBAC Link. Rebekah thoroughly researched and prepped for her VBAC knowing it was the path she wanted to take. She decided to stay with the same birth center as she felt so loved and supported by them. Her second pregnancy was filled with physical, mental, and spiritual preparation for her VBAC. Rebekah developed a deep connection with her baby girl and shares precious stories during both her pregnancy and labor when she knew just what her baby was trying to communicate. Rebekah’s VBAC was healing in so many ways. It was particularly special to birth in the same suite that she labored in with her first and have such a different outcome. All of Rebekah’s intentional work paid off to help her have a very sacred birth and postpartum experience!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to The VBAC Link. We have our friend, Rebekah, here today and she is local to me here in Utah so it’s always so fun to hear a Utah story especially because I usually know the provider and the location and things like that or I’ve served with them so it’s fun to hear the stories that I have served with the people who are serving these amazing VBAC mamas. We have our friend, Rebekah, like I said and she is a mama of two. She is a stay-at-home mom and is in Spanish Fork. She is passionate about birth and hopes to one day pursue birth work. She hired one of our VBAC Link certified doulas so just as a reminder, if you guys are looking for a doula, let me just tell you that our doulas are amazing. These doulas truly love birth and love VBAC and are all certified in VBAC so you can check that out at thevbaclink.com/findadoula if you are looking for a doula. Rebekah left us a note. It says, “The after-birth high doesn’t always happen. I have heard so many stories of women who experienced it and I was expecting to feel that. I however did not.” She says, “Don’t feel robbed of it.” She was confused why she didn’t feel it but she is going to talk a little bit more in her story. I love that message because I didn’t feel the birth high with some of my kids either and it is weird. I remember sitting there thinking, Wait, aren’t I supposed to be crying right now or aren’t I supposed to be screaming how happy I am right now? It just didn’t come. Please know that if you didn’t have that immediate birth high, it’s okay. It’s totally okay. We do have a Review of the Week. It is from Yulia and this is actually on our VBAC Course. It says, “This is an amazing VBAC Course that helped me understand how I can educate and support families in the best way.” She is actually one of our VBAC doulas so again, if you guys are looking for more information on VBAC and you really want to learn just all of the history of VBAC and Cesarean and how you can increase your chances of VBAC, check out our course at thevbaclink.com and let us know if you take it. Let us know what you think about it. All right, Ms. Rebekah. Your hometown is Utah, same as me. We are here together. You’re in Utah County. You’re probably 45-50 minutes away from me so just shy of an hour. Where did you give birth for your VBAC? Rebekah: It was the Utah Birth Suites in Provo. Meagan: Okay. Awesome, awesome. Well, I’m so excited to get into your stories today. I know that with your first one, you went through it. It was spontaneous labor turned unplanned Cesarean. Now if you are listening, I’m sure you can raise your hand. How many of us are having the same situations? We are going into labor and we have that unplanned Cesarean. It’s so, so hard. Before we get into your story, are there any suggestions that you would give to the listeners or any tips for moms just like us for moms who went into labor and had an unplanned Cesarean?Rebekah: The heartbreak and the trauma that comes with that is really hard to navigate so in planning a VBAC, my number one piece of advice is hire a doula. Hire a VBAC-certified doula and do all of the hard work you can to mentally prepare. Try not to blame yourself for the C-section because I know we all do that at some point if it wasn’t planned. Meagan: Yeah. I love that you said that. Don’t blame yourself but at the same time, let’s arm ourselves up with information and even first-time moms, there are so many times that we go in and we think we sort of educated ourselves but we didn’t. If we can try and educate ourselves a little bit better, we can hopefully be a little bit more armed for the unexpected and even then when the unexpected happens, it’s not easy to be armed. It’s not easy to be prepared. Okay, so let’s talk about that first birth that was an unplanned Cesarean. Rebekah: Yeah. I got pregnant in 2020 so COVID insanity and I had known even before I got married that I didn’t want to be in a hospital. I’m number 6 of 7 kids and my mom had all of us unmedicated. I was a home baby. Some of us were born at home. Some were in a hospital. Some were in a birth center. I just really felt that in my bones and in my genes that I can give birth. It’s not scary. My mom did this this many times without medication. My sister did it 5 times so I really felt confident. With everything happening in hospitals during COVID, I just was like, I don’t even want to try to mess with that so let’s go the midwife route. I got in contact with a friend of mine who was a doula and she recommended the Utah Birth Suites in Provo. I reached out to them. We toured a couple of different birth centers and that birth center just felt right. We met almost the entire team that first day in the interview. They spent almost an hour just chatting with us. I was about maybe 18 weeks, 20ish weeks. I was about halfway through my pregnancy. I had two or three meetings with an OB because I didn’t have a midwife and it just wasn’t my favorite. It was so long between visits and they lasted about 15 minutes. I saw a different person each time. It felt very impersonal and I don’t like repeating myself over and over again to all of these different people. It didn’t feel right. It wasn’t really what I was looking for. I found the Birth Suites and they took care of me for the rest of my pregnancy. I had a little bit of hypertension issues toward the end so the last three or four weeks were really juggling this game of, are we looking at induction this weekend? My blood pressure would read really, really high then I would do all of the things to bring it back down. I was watching my nutrition and taking the vitamins and everything to bring it down. It would come down just within a safe enough range to keep giving me care. Legally, if it crossed that line into worries of preeclampsia, then legally they had to transfer me into the care of an OB. My midwife was really working hard with me to keep it down. It was doing this up/down thing and by the end of each week, it was like, “Okay, we might have to induce you in a couple of days if you want to stick with us.” I was okay with that. My midwife had talked with me about that so it wasn’t pushed on me. I was doing everything to stay within their care. That was my whole goal so if I had to be induced, that’s what I would do. But every weekend came and passed and my blood pressure would come back down. Finally, it was the day before my due date. I went into labor in the middle of the night. It was maybe 2:30 in the morning. I felt my first contraction. I could tell it was labor because it was different than all of my Braxton Hicks. The only sign I had that labor was going to start was that I had cramping the day before. I was like, “Oh, this is kind of uncomfy.” I didn’t think anything of it. As a first-time mom, I didn’t know a ton. I did as much research as I possibly could but labor is so random with every mom and baby. There really is no way to tell. I go into labor early in the morning and I woke up my husband. I said, “I think I’m in labor. I think these are contractions. They’re not stopping. They’re getting really intense.” Intense compared to the Braxton Hicks I had been feeling. I let him sleep and I went into a different room and classic first-time mom mistake. Instead of resting, I got up and started moving and trying to get things going because I was all excited. I didn’t want things to slow down. I was timing them and texting my midwife. She said, “See if you can lay down. Take a Tylenol if they are super uncomfortable and try to get as much sleep as possible because you’ve got some time.” I tried doing that. It wasn’t working for me. I was super uncomfy laying down. I did not like it at all. I felt good when I was up and moving because I think that slowed things down but I didn’t know the difference. I just knew it was less uncomfortable. I was like, “I’m not going to be sleeping. Let’s just go do something.” We went on a drive. We did a little shopping. We walked around. We went back home. We hung out for a little bit. Then my husband was like, “Do you think I’m okay to go to work?” I was like, “I think you are. You can go to work. I think we have plenty of time. Things are still pretty spread out right now. We can call our doula and she’ll come hang out with me at home.” So that’s what we did. Our doula came over and my husband went to work and everybody was like, “What are you doing here? Your wife is having a baby. What’s going on?” He was like, “She’s fine. She has our doula.” Our doula was with me for a couple of hours and things had picked up enough to where I felt like he needed to be home so we called him back home. Things were moving on not slowly but slower than I wanted. I was just trying to be patient and let things go–Meag

Colleen’s first pregnancy ended in a miscarriage at 6 weeks. At 12 weeks along with her second pregnancy, Colleen and her husband found out that their daughter would be born with a genetic condition called Trisomy 18. Colleen shares her experiences with Trisomy 18 and how she found the right support to help her navigate through it all. Due to IUGR and other medical concerns, Colleen had her daughter via Cesarean with an 85-day NICU stay afterward. To her surprise, Colleen had a third pregnancy just 6 months after her daughter’s delivery which ended in a heartbreaking second-trimester miscarriage. After discussing her pregnancy and birth histories at an appointment, Colleen’s doctor referred her to be screened for a MTHFR gene mutation for which she came back positive. MTHFR (methylenetetrahydrofolate reductase) is a gene that impacts your ability to process and absorb folate. It can be responsible for complications during pregnancy and is detected through a simple blood test. Colleen and Meagan talk more about what MTHFR means, and what Colleen was able to do to have a fourth uncomplicated pregnancy and a beautiful, smooth VBAC delivery! Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome to the show, everybody. We have our friend, Colleen, on with us today sharing her stories and navigating through this amazing journey that we call birth. Birth is such a journey, wouldn’t you agree, Colleen?Colleen: Absolutely. Meagan: One of the most unique things about it is obviously through the stories we all hear. They are all unique and individual to us and even one birth that you’ve given doesn’t mean the next birth is the same. So we’re going to be talking today about navigating through birth and we know that a lot of the times through these journeys whether it be because of a Cesarean or because of how we were treated or because of how our body responded or whatever it may be, sometimes and a lot of the times, we experience trauma. Trauma is viewed differently from everybody and processed differently. We are going to be talking about navigating through trauma. Then Colleen is actually going to share some of her fertility journey as well. I think that’s also a really important thing because we have so many mamas out there– we know. We know. We see it. They have to navigate through fertility challenges. We’re going to be talking about that along with a VBAC. Let’s get into that here in just a minute. We do have a Review of the Week then like I said, I’m going to introduce Colleen and turn the show over to her so she can share her beautiful stories. This review is from lexieemmarie. It says, “So thankful. I just wanted to say thank you for creating this podcast. I had my baby girl via emergency Cesarean at 30 weeks due to several medical complications with my baby. We spent 95 days in the NICU and while in there waiting for my sweet girl to grow, I started to research VBACs to see if it was right for me. Once I found this podcast, it sealed the deal. I absolutely can’t wait to VBAC with my next pregnancy. You all are incredible to listen to because you provide the wealth of knowledge and positivity but are also fun and entertaining to listen to. Amazing job, ladies.” Aww, that just made my heart so happy. Oh my goodness. Thank you so much, Lexi, for your review. As always, we love these reviews. They make our hearts and our minds so happy. You guys, this is what we want. We want you to have that wealth of knowledge. We want to have you feel inspired and guided and uplifted and educated along the way through all of these stories. As usual, leave a review if you haven’t yet. We would be so grateful. Meagan: Okay. We have Ms. Colleen. She lived in Michigan. Did you have your VBAC baby in Michigan? Colleen: I did, yes. Meagan: You did. Colleen: My husband and I live in a suburb of Detroit in Gross Point so that’s where I gave birth in August of 2024. Meagan: Awesome. Awesome. Okay. Wait, 2024? Just right now?Colleen: Yeah, I’m 2 weeks postpartum. Meagan: Yes, I love it! So really, really fresh. Colleen: Fresh. Meagan: I love sharing stories that are so fresh like that. It is right there in your brain. Colleen: Exactly. Meagan: Oh my gosh. Okay. She has two beautiful children now and one two-week-old baby. Your two-year-old daughter is Gianna? Colleen: Gianna, yes. Meagan: She was born via Cesarean due to chromosomal abnormality. Do you want to share what that means?Colleen: Yeah, I would love to. Gianna has a chromosomal condition called Trisomy 18 that we did find out about through the genetic screening early on in pregnancy that she was considered high risk for coming down with Trisomy 18. As the pregnancy progressed, it became pretty evident that it would be the reality. For those of you who don’t know, Trisomy 18 on its surface means that the baby will have an extra 18th chromosome in some or all of their cells. How that manifests itself is through some pretty serious medical complexities that require quite a bit of care. I will get into that a little bit more with my story but that is the quick version of Trisomy 18. She is also now 2 years old and a bubby, sometimes sassy, little girl. Meagan: Is there another name for it with an E?Colleen: Edwards Syndrome, yes.Meagan: I have another friend who has that and I seriously adore him. He is thriving and doing amazing in life. Colleen: Yes. She is a warrior. She is so strong. She is so beautiful and has brought nothing but love and joy to everyone who knows her or who don’t know her. There are so many people from near and far who love her. It’s great. Meagan: Yes. Awesome and then we’ve got Sonny who was born via VBAC just two weeks ago you guys. She says, “As a mama of a medically complex child, she is passionate about awareness and education for those within her daughter’s condition. She also enjoys running, reading, cooking, and volunteering.” Colleen: Yes, that’s a little bit about me. Meagan: I love it. Welcome to the show and thank you so much for being here with us. I would love to turn the time over to you to start sharing Gianna’s story. Colleen: Amazing. Thank you so much for having me on. The VBAC Link was a staple on so many of my walks when I was getting ready to give birth. I just found it to be so uplifting and empowering and I’m so glad that I found you as a resource. A little bit of background before getting to my VBAC– it really does begin in about 2022. It starts out with some of those fertility issues that you had mentioned at the start of the podcast. My husband and I decided to start trying after about two years of marriage and we got pregnant pretty quickly. That ended early in a miscarriage at about 6 weeks. But we said, “Okay, let’s try again.” We had processed and accepted that miscarriages do happen so we quickly said, “Let’s give it another go.” But we had those reservations and that in the back of our mind of moving forward cautiously. We did get pregnant quickly again. Throughout the first trimester, we just kept it tight-lipped. We just told immediate family and then decided we wanted to do the genetic testing of course to find out the gender. We didn’t really give too much thought to what else you learn from that bloodwork. As my pregnancy progressed throughout the first trimester, I was feeling confident then at about 12 weeks, we received a call from my midwife. She told us that it was a girl and that she came back high-risk with Trisomy 18. We weren’t expecting that. It was scary and a shock and the more we learned and the more we read in those early days was devastating to us. We were just coming off the heels of a miscarriage so then to have this thrown at us was just a real curveball. In order to move forward and navigate that, my husband and I were always planning on keeping the pregnancy so it just meant, what does that mean going forward? After talking with more specialists and maternal-fetal medicine at the health system that I was at at the time, it became very apparent that they weren’t really willing to help. We needed to find another health system. We are so fortunate because we were living out of state for quite some time then moved home before we started to try. We were living in Chicago and then moved back to Michigan. University of Michigan, so CS Mott Children’s Hospital is for sure the best in the state and one of the best in the country for caring for kids with my daughter’s condition. We switched all of my prenatal care there and they provided us with hope and were willing to monitor me and have a very wonderful NICU. They were willing to provide interventions and things after she was born. But as it related to my pregnancy, it completely deterred any sort of plans and any sort of “normalcy” that one might have. It was shrouded in sadness and anxiety and fear and unknown. Each ultrasound and each week was closer and closer to meeting her but also closer and closer to what does this mean for her? What does this mean for our family? I completely abandoned any apps or what size fruit she was going to be at a certain week because she had intrauterine growth restriction. That rulebook and those guidelines went out the window. I was really afraid to connect with her when I was pregnant. A lot of the time I would say, “Okay, be in tune with her. Read to her and rock her and listen to music with her,” and I would just end up in the nursery that we decorated in tears because I just had so much fear and sadness around what was to come. With that being said, because my plans had been derailed, I really threw myself into learning about her condition and learning about what would come afterward. That gave me hope as a very Type A person. I needed to be doing something to prepare and connected with other families from around the country to give me and my husband hope and learn about what life with children with Trisomy 18 looks like and what they are capable of really

Katie is a newborn and family photographer based out of Chicago. After going through IVF, Katie was surprised to find out that her first pregnancy was with identical twins. At 33 weeks, she had an unexpected bleed and then another at 35 weeks. Because of placental abruption, she went straight to a Cesarean and her babies were in the NICU for 7 days.Katie wanted to know what a singleton pregnancy and VBAC birth could be like. She found a supportive midwife group through her local ICAN chapter that had around a 90% VBAC success rate! She also hired a doula. As her due date approached, Katie decided to opt for membrane sweeps to avoid a medical induction starting at 38+6 weeks.After four membrane sweeps over the course of two weeks, spontaneous labor began. She arrived at the hospital and her sweet baby was born vaginally just 5 hours later!Though she said she has a low pain tolerance, Katie's VBAC was unmedicated and she also shares her experience with a retained placenta and a second-degree tear. Katie, that is no small feat-- we know you are an absolute warrior and woman of strength!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome to the show, Katie. Thank you so much for being here with us. You guys, Katie is from Chicago, right? Chicago. Katie: Yep. Meagan: She is an IVF mama. She’s got three girls. She is a girl mom and two identical twins and then a baby girl. How old is your baby girl now? Katie: She’s going to be 3 months tomorrow. Meagan: 3 months so still little tiny. Oh my gosh. I love it. So yeah, and then you guys, when she’s not doing the mom thing with all of her girls, she is also a newborn and family photographer which is awesome. Can you share with us your handle so we can come follow you?Katie: Yeah. On Instagram, I’m at katiemichellestudios. Meagan: Okay, katiemichellestudios and we are going to make sure to have that in the show notes so you can go follow her and follow her amazing work. And if you’re in Chicago and you need newborn or family photos, hit her up. Is there a specific– Chicago is big. Is there a specific area that you serve?Katie: I’m in the northwest suburbs but I do in-home sessions wherever. I use a studio in Oak Park. Meagan: Okay, awesome. Then with your stories today, we’ve got a couple of highlights. We have IVF, placental abruption, and sticky placenta. I’m excited to talk about sticky placenta for sure because it’s not something a lot of people talk about that could happen. Then, of course, the twins and all of that. We are going to get into that but I do have a Review of the Week. You guys, I know every single week I know you are probably sick of me asking but I love your reviews. Thank you so much for your reviews and remember, we always accept your reviews. Okay, this is from cassie80. It says, “Extremely educational and super empowering.” It says, “After a traumatic C-section in 2016, on my research journey about VBAC, I came across this podcast and instantly fell in love.” You guys, that just says something to me. 2016 is when she had her C-section and 2018 is when this podcast started. It’s crazy to think that it’s been going for so long but I’m so grateful for all of you guys sharing your stories like you, Ms. Katie, and helping this continue. It says, “I am currently trying for number two and am on a mission to VBAC. Hearing all of these wonderful stories of strength has given me the confidence that I can do it when the time comes. You and all of the women who courageously share their stories are just amazing. You all provide healing and support for all of us mamas.” Thank you so much, Cassie, and I’m so glad that you are here with us and have been with us for so long. Okay, Katie. Thank you again for being here. Katie: Thank you so much. I am so excited to be on this podcast myself because I listened to you guys nonstop my entire pregnancy even before and I always had it in the back of my mind that, Oh, if I get my VBAC, I’m going to come on here and tell my story. I am super excited and thank you for having me. Meagan: Oh my gosh, thank you so much. Let’s talk about these twins. Let’s talk about that birth. Katie: Yes. They were IVF but they were obviously surprise identical twins. My embryo split into obviously identical twins but they were an interesting pregnancy because usually with IVF, the twins are mono-di which means they share a placenta and have two sacs but my girls are actually di-di so they had two placentas, two sacs, so that meant they were a little bit less of a risky pregnancy and a vaginal birth was a possibility. That’s what I was planning on. Everything was pretty smooth up until 33 weeks which is when I had my first bleed. It was just the middle of the night. I got up and I just started gushing. The doctor said that it was a marginal placental abruption. That means it was on the edge of the placenta and it wasn’t a risk to them. Obviously, it was super scary. I thought that I was going to lose them both but everything with them was fine. They sent me home after a few days at the hospital. They just told me to take it easy, but they said it might happen again. It did at 35 weeks and 3 days. I had another bleed. At that point, they said, “They are almost to term for twins.” It’s technically 37 or 38 weeks is when they like to induce for twins so they just said not to risk going any further and let’s just get them out right now. I was planning on a vaginal birth, but because of that abruption and we didn’t know what state the placenta was in and what would happen if there was an induction process that was started, so with the doctors, we decided I didn’t want to risk induction and then needing a C-section anyway for the other twin so we did the C-section. It was a really, really rough recovery and they were in the NICU for a week. One of them needed breathing support and the other one was there for growing and feeding. Meagan: How big were they?Katie: 5 pounds, 3 ounces, and 4 pounds, 13 ounces. Meagan: Okay, okay. Katie: They were a good size. They were overall healthy but it was for me, super duper rough as a first-time mom to twins especially. The breastfeeding journey was really hard. I dealt with low milk supply and they were so tiny that it was hard for them to latch so I ended up exclusively pumping for 11 months. That’s their story. Meagan: Wow. That’s a lot of work by the way for someone maybe who hasn’t pumped a lot. Holy cow. Good job. Katie: Yeah. So when we decided to have a third which was a tough decision for us, my husband was not on board. We ended up deciding that we wanted to experience what it’s like to have a singleton baby and just having a singleton pregnancy hopefully and a VBAC. I definitely knew that I wanted a VBAC and started doing all my research. I found a very VBAC-supportive midwife group in my area. They have a 90-something percent VBAC rate in the hospital which is crazy. Meagan: Wow, yeah. That’s amazing. What do you think they do so differently that a lot of other groups don’t do that makes them so successful? Or are you going to share about it?Katie: I’m not sure. I think the hospital might be part of it, like the hospital policies might be more supportive. They deliver at Evanston Hospital if anyone is interested. Overall, I think the doctors that they work with because it’s a midwife group that they work alongside doctors that when there is a delivery for the midwives, the doctors are also in the hospital. I think the doctors are also very VBAC-supportive so I think that helps when they are working together. Meagan: Yes, absolutely. Katie: That’s that story. Meagan: So you found them. You found the providers. Did you go and ask them questions? How did you feel like you realized that they were supportive? Katie: Yeah. I went on– what’s that group that have a Facebook group all around the country for different areas about lowering the C-section rate?Meagan: Oh, cesareanrates.org? Katie: I’m not sure. They are an organization. Meagan: Oh, ICAN?Katie: ICAN, yes. I went on my local Facebook group for ICAN and I asked around. I got their info. I first went for an appointment with one of the doctors at that practice before I was even pregnant because I was planning for the transfer and I liked that doctor, but then I realized that they have midwives and people really raved about the midwives. They said if you are looking for a more holistic experience and they spend more time with you than the doctors do. I just decided to go that route and somehow picking the midwives made me dive into the whole unmedicated birth side of things as well. I ended up hiring a doula as well. I never thought I’d be someone interested in unmedicated birth. I consider myself to have very low pain tolerance. Meagan: So tell us more about the birth. You have a low pain tolerance but you did go unmedicated?Katie: Yes. I ended up doing it. Meagan: Okay. Did you go into spontaneous labor?Katie: Yeah, it was interesting. I ended up having four membrane sweeps which is not that spontaneous. Meagan: Well, hey. This is the thing. A lot of people ask about membrane sweeps and sometimes people feel, Hey, this is worth it. Let’s do this. Some people don’t. Sometimes it works and sometimes it takes many and sometimes it doesn’t. It’s whatever feels right. So do you remember where you were with the first membrane sweep cervical-wise and how many weeks and things like that? Katie: Yeah, so I wanted to start them. Remember, I had never been pregnant past 35 weeks. Meagan: Right, yeah. Katie: I really thought that I was going to have an early baby again, but that really wasn’t the case. I had her at 40 and 5. So the membrane sweep, I started the first one at 38 and 6 so basically at my 39-week appointment. I had no change after that one. Nothing happened. That’s kind of what I assumed would happen so I had another one the next week at 39 and 6 and at that point, I was 2 centimeters, 80% effaced,

Rachel is a professor, an author, and a VBAC mom who is here to share her story from a traumatic C-section birth through a VBAC. This episode really dives deep into how picking the right provider is key to improving your chances for a VBAC. They give practical questions to ask your providers, more than just yes or no, to really get to know their birth philosophy and what qualifications and experiences your provider might have that would make them a better fit for VBAC chances. Rachel and Meagan also give a lot of validation and advice on how to start the process of overcoming birth trauma; it’s reality and to not be ashamed of it. You’re not alone. Through the many important messages of this episode, they both mention many times to trust your intuition. If something feels off, listen to that. And if a change in provider is necessary…it is never ever too late to change. Invisible Labor: The Untold Story of the Cesarean SectionHow to Naturally Induce LaborHow to Turn Prodromal Labor into Active LaborMembrane Sweeps for VBACHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello everybody! Welcome to the show! I am so honored to have Rachel Somerstein on with us today. She is a friend of ours from New York. She is a writer and an associate professor of journalism at SUNY New Paltz. She is an author of Invisible Labor: The Untold Story of the Cesarean Section.  And her writing has also appeared in the Boston Globe, The Guardian, The Washington Post, and Women’s Health. She lives in Hudson Valley, NY with her husband and her two children and is here to share her stories with you today. Rachel had an unplanned Xesarean section with her first child and the experience was anything but routine. I know that there are many of us who have been through this journey and on this podcast, maybe listening today, that also had an unexpected experience and it may have left us with trauma, or doubt, or fear, or all the feelings, right? And so she is going to be talking to us today about her experiences, but then also we’re going to talk about some guidance on how to find peace and to offer ourselves grace and to set ourselves up for a much better experience next time. We do have a review of the week, so I want to get into that and I’m going to turn the time over to Rachel.This review is by Deserie Jacobsen. The review title is “Thank You.” She actually emailed this in and it says, “This podcast and parents course is amazing. I am not a VBAC mom, but I have been listening since 2020. I binge listen near the end of every pregnancy to remind me of everything I need to remember in birth and process through my previous births. This time around I felt more prepared than ever before, having plans in place just in case. We were able to have a quick birth of my 5th baby. I love the education, passion, and love this podcast gives. I recommend it to everyone I know, and I have learned so much from it. I am so grateful for this podcast, thank you.”Thank you so much Deserie for your review! Seriously you guys, I just love hearing that people are finding the information that they need, they’re finding community, they’re finding that they can do this too. Just like them, and all these reviewers and all the people that have shared their stories and all these reviewers you guys can too. This birth, VBAC, is possible too. Better experience is possible. A healing CBAC; it’s possible. You guys, all it takes is getting the information, the prep, finding the provider, to have a better experience.Meagan: Alright Ms. Rachel, welcome to the show and thank you again so much for being here with us. I kind of talked about this a little bit before we started recording about how I think your episode is going to be so powerful and deep and raw too. You’ve got these feelings and these words. I love it. I love reading your book and I can’t wait to hear it from your own mouth. Which speaking of book, can we talk about that a little bit? What kind of just inspired you, jumpstarted you into writing a book about this?Rachel: Well, I’m a writer. And I wrote an essay about my birth about two years after I had my baby, my first birth, my C-section. And I realized I had a lot more to say and also I heard from a lot of moms when that came out and that made me start thinking that I think there was a bigger project. Meagan: Absolutely. And an amazing project that you completed.Rachel: Yes.Meagan: And remind everybody before we get into your stories where they can find your book. I actually have it here in my hands. It’s Invisible Labor. So where all can they find that? And we’ll make sure that we link it. Rachel: Sure, thank you! Yeah, so it’s Invisible Labor: The Untold Story of The Cesarean Section. And you can get it on Amazon, you can get it from Barnes and Noble, you can get it from your local bookstore, you can get it as an audiobook? Or you can also get it as an ebook.Meagan: For the audiobook, did you record it?Rachel: I did not. The narrator is Xe Sands and she did a great, great job. It sounds excellent. Meagan: Awesome. We’ll be sure to link that. I think it’s definitely a book that everyone should check out. There's a lot of power in that book.Rachel: Thank you.Meagan: And it’s not even just your story. I mean there’s a ton. Like if you go through the note section there’s a ton of research in there, and history and studies, and so many really great things. Well okay, let’s hear about the story that started the inspiration and behind this amazing book.Rachel: Sure! Thank you. So like so many moms, I had an unplanned C-section that I was completely unprepared for, which is another reason I wanted to write this book because I think a lot of people go into pregnancy just assuming they’re going to have a vaginal birth and like me, I didn’t even read the parts of the books about C-sections, I skipped them. Because I was not going to have a C-section. Which is whatever, hindsight is everything, right? But I had a totally textbook pregnancy. I switched to a different group of midwives and OB’s about halfway through because I just didn’t have a connection I felt with the providers in the first one. And frankly, I didn’t have a connection with the providers in the second one either, but by that point, I was like well whatever, it’s fine. Which I think is actually, if I could go back and do it again I would have changed that. But you kind of are like, I don’t want to, could I possibly change again? And I think that for people who are VBACing, yes you can and sometimes you actually really need to, even like late on in your pregnancy, people will switch groups or providers even late in the third trimester, so. Meagan: Even if you’re changed already, you can do it multiple times.Rachel: Exactly.Meagan: It’s not a bad thing to find the right provider for you. It’s not. Rachel: It’s not. And It's hard. And you can feel like, Oh my god. Am I really going to send all my records over? It can feel like so much effort and it can really be worth it. I just wanted to say that as someone who switched once and then was like, Okay, I’m done, and wished I’d switched again. So anyways, it was late in week 39 I went into prodromal labor but I didn’t know that prodromal labor even existed because nobody told me about it.  And it was my first baby. So I was like is this labor? I think I’m having contractions, these are not Braxton Hicks. And in the end, we talked to the doula I was working with, and in the end they ended up petering out. And at that, I think that that for me marked the beginning of, this is not going to look like the way I had expected it to look. And again, hindsight is everything. What I wish I had known at the time– and I think this is really relevant to some VBAC moms is that sometimes prodromal labor means that your baby is not in the best position for having a vaginal birth. And I can’t exactly say oh I would have done this or that differently if I’d known it, but it would have helped me understand what I was going into with the labor and the birth. So anyway, I eventually went into labor in the middle of the night. It was exactly my due date and I knew it was different. I could just feel this is labor. And I was really eager to get it going quickly. And again, I wish someone would have said, “Rachel, rest. It’s early. You’re going to need your strength. You’re going to need your energy however your baby is born.” And instead I quite literally was running up and down the stairs of my house to try to push labor along. Which is, I have compassion for myself, I understand why I was doing that. What I really needed to do was get in the bath, or I don’t know, lay over the birth ball. Watch a silly movie, right? The feelings I was having were real pain and I was scared. But you kind of can’t run through this, especially a first labor as we all know, those take a long time, right?Meagan: Yeah. And if we were having prodromal labor, our body may be kicking into labor, but still might need some time to help that baby rotate and change positions. Rachel: Exactly, exactly. And this is the kind of education that is so missing from birth classes. And that is one reason why this kind of podcast is so helpful because that’s how I learned about these different things. I didn’t ever learn about them from a provider being like, “Let’s talk about what will happen in your birth, and let’s talk about why you had prodromal labor.”So anyway, we went to the doctors office where we met a midwife and my doula for a labor check. And I was hardly dilated, I was at a 2 but I was in extreme pain. And I have to say, I have a very, very high pain tolerance and I now know I was having back labor. Meagan: Baby’s position.Rachel: Exactly. And the contractions were like boom boom boom boom. They were not, I didn’t have any rest in between them. Which again, I think my baby was like I gotta get in the right position, this isn’t working out, I’m freaking out, a

We hear SO many of our listeners say things like, “I wish every first-time mom listened to these stories” or “I wish as a first-time mom I heard these stories because I truly believe it could have helped me avoid my Cesarean.” First-time moms, we want to educate you to make informed decisions during your birth. We want your first birth to be an empowering experience, no matter the outcome. And if possible, we want to help you avoid an unnecessary Cesarean.  Meagan shares some of her best tips for first-time moms regarding induction, big babies, ultrasounds, and more. We also asked members of our VBAC Link Community to send in their best tips for first-time moms. We hope this episode becomes a great starting point for you to then go on and listen to the powerful stories shared in our other episodes!VBAC Link Supportive Provider ListEvidence-Based Birth: Evidence on Inducing LaborThe VBAC Link Blog: The ARRIVE TrialNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. This is Meagan and you are listening to The VBAC Link Podcast. I am so happy that you are here. Normally, we have episodes that are filled with VBAC stories, CBAC stories, and guests sharing educational pieces on VBAC. However, today, I’m going to a quick episode for our first-time mamas out there. For years, we have had people write in a review saying things like, “Oh my gosh, I wish every first-time mom listened to these stories. This is not only for VBAC moms or VBAC-hopeful parents. This is for anyone who is giving birth,” or again, going back to the first-time mom, people saying, “I wish as a first-time mom I heard these stories and learned this education because I truly believe it could have helped me avoid my Cesarean.” Women of Strength, if you know someone who is expecting or if you are a first-time mama, listening on how to avoid unnecessary and undesired C-sections, listen up. This is going to be an episode specifically for you. As always, I have a Review of the Week so I’d like to dive into that but then get back into what first-time mamas and what our community wants first-time mamas to know. Today’s review is from Emmalyn. I don’t even know how to pronounce the last name, but Emmalyn. It says, “Uplifted and educated. I have been binging this podcast since I found it a couple of weeks ago and I’m addicted. As I prepare for my HBA2C” so for the listeners who are new, HBA2C means home birth after two Cesareans, “I have experienced so much healing and inspiration through hearing these stories after two attempts for vaginal deliveries with my first two kids. One preeclampsia hospital birth and HBAC (home birth after Cesarean) transfer to the hospital. The content they provide is diverse, thoughtful, and inclusive. There is so much stigma around home birth and VBAC and this is the first and only community plus the Facebook group I have found to truly be welcoming and nonjudgmental. I feel like this is going to be an instrumental tool to my birth prep for my baby coming this Christmas Eve.” You guys, I could not agree with her more. This is a place where we want you to know that you are safe, that you are heard, that you are understood. We in no way, shape, or form believe that there is only one way to birth. There just simply isn’t. We just want you to know your options and feel empowered to make the best decisions for you along the way. So if you are one of these first-time mamas listening today, I am so excited that you are here and I do encourage you to continue going on through all of the other episodes. Women who are sharing their stories likely have had a Cesarean before and I think this is such a great opportunity for you to learn how to avoid a Cesarean by listening through others who have come before you and have given birth and have also learned along the way. I’ll tell you right now that with my first baby, I was not ready to give birth. Although I felt ready, all I knew was that I was pregnant and I was going to have a baby and I could not wait. But there was so much more that I didn’t know that I wish I knew. I have learned throughout the way and I’m going to be sharing some more experiences with you along with, like I said, really tips from our own community members. You guys, I reached out on Instagram and asked for tips for first-time moms and I’m going to go over some of those tips along with learning how to avoid a Cesarean and unnecessary interventions. Here we go. Okay, everybody. Welcome to the show. Thank you for joining me. If you are new to the podcast, my name is Meagan Heaton and I am a VBAC after two C-section mom and a doula who wants to help educate and empower anyone who wants to learn more about their options for birth after Cesarean as well as learning how to avoid a Cesarean from the get-go. I had a Cesarean when I was pregnant with my first. I went into labor at 39 weeks and 5 days spontaneously with PROM which is called premature rupture of membranes. What that means is my body went into labor as far as my water broke, but then nothing really followed for quite some time. Contractions didn’t really get going and labor itself did not start. I, along with many first-time moms, was told that if your water breaks you go straight to the hospital. I went to the hospital and from then on out, it was induction. They wanted to induce my labor and they wanted to intervene instead of just letting my body do its thing. I started getting Pitocin and that led to an epidural. It unfortunately led to a Cesarean. Now, I want to tell you that Pitocin and an epidural do not always lead to a Cesarean but these are going to be common things that you’re hearing in women’s stories along this podcast that do seem to impact the end result of a Cesarean. With my second, I really wanted a VBAC, a vaginal birth after a Cesarean, and I went looking more into what it was and what my options were and what I should do. I ended up staying with my same provider who was a great guy. Do not get me wrong, but he wasn’t the provider for me and I didn’t learn that until after my second Cesarean. I stayed with him and I went into spontaneous labor again with premature rupture of membranes. This one took a lot longer for my body to kick in and unfortunately, I really never was allowed the time. I ended up walking down for a second repeat Cesarean with that one because I was told that my body just did not know how to do it. This is also another very common, common thing that so many Women of Strength are being told. Their body doesn’t know how to do it. Their body can’t progress. Their pelvis is too small. Women of Strength, if there is any pet peeve that I have, it is someone telling another person that their body is not capable of giving birth vaginally. I might sound grumpy about it. Let’s be honest, I am. You are capable of giving birth vaginally. What are some of the things that I would suggest you do as you are going along as a first-time parent?Number one, I really believe that provider is key. If you have a provider who is on board with your birthing desires, that is going to help you so much during your labor and your pregnancy journey. If you have a provider who is very induction-happy, intervention-happy, and pushing you to even schedule an induction before you even reach 39 weeks or 40 weeks or 41 weeks, that’s a problem. That is a red flag. Take a moment if you can. Go to thevbaclink.com/blog or just click the link in the show notes and check out how to find a supportive provider. Now, this blog that we have is how to find a provider who is supportive in VBAC, but I think all around it goes in line with any provider whether you are a VBAC or not. You want to find someone who doesn’t put stipulations on when you have your baby and what happens during pregnancy meaning that if they are requesting or demanding that you do multiple growth scans in your third trimester and there is really no medical reason to indicate the reason to do that, that’s a problem. If they are talking about the size of your baby early on or the size of you and how you look and, “You must be carrying a big baby. You are so petite,” there is already doubt that is being placed. As I mentioned, if they are encouraging an induction at 39 weeks or just getting it on the schedule, let me tell you right now that being pregnant at 39 weeks is not always fun. Being pregnant at 40 and 41 weeks is not fun. There is a lot that goes into it. Your hips hurt. You’re tired. Your pelvis hurts. You’re peeing all of the time. You can’t sleep. Okay, it doesn’t sound that great, right? But it really is such a great time and it’s a time that we need to cherish and really just embrace but it’s hard to do that. That’s the fact. It’s sometimes really hard to do that so when we have providers giving us an “out” to give birth sooner, it’s very enticing. I don’t shame anyone for taking that opportunity of being induced and picking your baby’s birthday, but there are a lot of things that go into that. Now, as a first-time mom back in 2019 I want to say, a study came out and they called it the ARRIVE trial. The ARRIVE trial is where they had a whole bunch of people, and really actually not that many people, but a whole bunch of people in two groups. They had one group where they induced at 39 weeks and they didn’t always have a “favorable” cervix. Favorable versus unfavorable meaning the cervix was showing signs of readiness to give birth. They had these moms in one group who were induced at 39 weeks then they had another group who chose not to be induced or to wait for spontaneous labor but would not let them go past 42 weeks. There were a lot of things that their goals were to point out and study in this trial which you can find out more about on our blog. It’s in the show notes. We’ll make sure that we have the ARRIVE trial link in there. But they really wanted to also see what it did for Cesarean. In the indu

“Inhale peace, exhale tension.”Did you know that the cascade of interventions can not only contribute to a Cesarean but may cause one? Melanie believes that was the case with her first birth. Her difficult recovery included going to EMDR therapy to help with her PTSD. Her OB/GYN did mention that she would be a great VBAC candidate. Not knowing VBAC was a thing, Melanie’s research began. Cue The VBAC Link!Melanie vigorously dove into VBAC prep before she was pregnant again. Her journey is one that shows just how powerful intuition and manifestation can be. Melanie went from having PROM with her first to arriving at the birth center at 7 centimeters and even being able to reach down to feel her bulging bag of waters as her baby began to emerge en caul!Other talking points in this episode include:Achieving a VBAC without a doulaHusband support Birth affirmationsRecommended podcasts and booksSpecific ways to avoid PROMHypnobirthing by Siobhan MillerThe VBAC Link Blog: 9 VBAC Books We RecommendThe Birth HourDown to BirthNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Happy VBAC Link Podcast day, whatever day it is that you are listening. We are so happy that you are here. We have our friend, Melanie, from Texas. Texas, is that where you are? That’s where my mind is thinking. Melanie: Yep. Yep. Wiley, Texas just outside Dallas. Meagan: Perfect and did you have your VBAC in Texas?Melanie: Yes. In Dallas. Meagan: In Dallas, okay. We have her sharing her stories with us today you guys. At the end, we’re going to be talking about PROM. Right before we got recording, I was talking about how important I think talking about PROM is which if you haven’t heard lately what PROM means, there are all of these acronyms all over the place when it comes to VBAC birth, but it’s premature rupture of membranes. We are both PROM moms here and so we are very passionate about the topic. If you have had your water break before labor really started and got going in the past, definitely hang on in the end because we are going to be talking more about that and maybe some ways that could or maybe not, we are hoping these are the ways that helped us avoid premature rupture of membranes. We are going to be talking about that and of course, her beautiful VBAC story. I do have a Review of the Week and this is by milka. It says, “VBAC Podcast Review.” It says, “Hi. I love listening to your podcast. I had an unplanned C-section with my first birth and am preparing for my second birth now. I didn’t know what to do to make sure I didn’t end up with the same situation. Hearing so many women’s stories and experiences validated mine but most importantly, I learned so many tips and ideas to help my VBAC. I had a successful VBAC and now recommend this podcast to all expecting moms. Just such a great no-pressure and enjoyable way to learn.” I love that she talked about no pressure because that is what this podcast is about. This is a place where people share their stories, where they share information both on VBAC and CBAC, and all topics when it comes to birth. We want you to just be here, be in this space, and have it connect with you how it connects with you and take these women’s stories and these providers who are coming on and the information given and apply it however, it looks for your journey. Melanie and I were just talking a little bit before the episode about how it just feels so full circle. So many of these Women of Strength who have come on before Melanie here and have shared their experiences and people listening, it really is so impactful. Right, Melanie? You were saying that I was in your ear. We were in your ear and these people’s stories were in your ear doing what? Empowering you. Melanie: Mhmm. Oh yeah, it’s incredible. It feels very full circle to be here. Meagan: Yes. We are very excited that you are and you guys, we are going to jump right into her story in just a second. Okay. The table is yours. Melanie: Okay, so happy to be here. Meagan, like you said, you guys have been in my ear for over a year so it just feels incredible to be here. As I was listening to these stories, I was always hoping to find that birth story that was like mine just to find out what went wrong with mine and also on the flip side, what did people do? What were people seeing in things that went right and how they were able to get a successful VBAC? I was very motivated and inspired by the podcast. I listened to every episode so hopefully, my two stories out there can hit home with anyone. But yeah. I’ll start with, of course, the C-section just briefly. I got pregnant in March 2021 so everybody remembers it was COVID times still. Meagan: Wild times. Melanie: Wild times. Actually, at the beginning of my pregnancy, my husband wasn’t able to come to the appointments. But thankfully, it being 2021, by halfway he was able to come. That pregnancy, I was really healthy. I ran. I’m a big runner so I ran every day. I had no morning sickness. I was very active. I never even until the very end– I ran the day my water broke and I never had that feeling like I didn’t want to be pregnant.Not the case the second time as we’ll hear, but the first time—Meagan: And you do that competitively, right? Did you compete during pregnancy at all? Melanie: I’ve ran my whole life so I ran cross country and track division one in college. Now, I do more marathons. Yeah. I ran both pregnancies. Not anything too crazy. During the second pregnancy, I did run a half marathon. I was 16 weeks but then it went downhill after that. But yeah. I run pretty competitively. I take it really seriously and it’s a passion of mine. Yeah, the only thing I got the first time and the second, but I did. I’ve heard it before on the podcast is SPD, symphysis pubic dysfunction. The first pregnancy, so the one I’m talking about, a prenatal chiropractor literally cured it. I had to go back a couple of times because it would get out of alignment again, but for anyone who is suffering from SPD like I was both times, it’s amazing. I would just call them witches because they would literally cure it and it would get me back to running. It was amazing. So my birth education the first time around, I thought I was educated like so many women here. I read the typical What to Expect When You’re Expecting. I did a podcast but it was more so of what size is your baby? What’s going on in utero? I didn’t listen to many birth stories and I became so obsessed with that the second time. And truly, I feel like you get the best birth education through birth stories because you just get the whole shebang. We did take a hospital birth class and now I know that a hospital birth class is really just the hospital policies. I remember there was a section that they had mentioned very quickly in passing, “If you’re going to have a C-section, you should take this class. Okay, the next thing.” I thought like so many women, That’s not going to be me. I’m not going to have a C-section. I’m healthy. I feel great. Most C-sections are not planned so I feel like it really did a disservice to not even mention anything about a C-section in that class, but anyway, I just assumed that you have a baby in the hospital. You get an epidural. You take a nap and then you wake up and you push out a baby. I was not against hospitals or anything. I was not against the epidural or anything like that. I mentioned that I ran the day my water broke. This was past 40 weeks. 40 weeks came and went. A couple of cervical checks I got I was not dilated at all. They had scheduled a 41-week induction date. When I was checking out at the front desk at the time, I just remember it feeling really, really wrong scheduling that date. Meagan: Your intuition was speaking right there. Melanie: 100%, yeah. Of course, I didn’t realize it at the time. It was my first baby and everything but when I look back, that just felt so wrong. 41 weeks came and I was supposed to go in at 9:00 PM that night but the interesting thing is that my water broke actually 4 hours before I was supposed to go in. It was 5:00 PM and I was supposed to go in at 9:00. Like you mentioned Meagan, it was PROM so it was a trickle. I was like, Wait. Am I peeing? What is happening here? No contractions at all. And with the little education I did, I knew that just because your water breaks, it doesn’t mean that you have to go in and you should labor at home as long as possible. However, because I was set to go in and I guess because I was 41 weeks, I called them and I just remember they were like, “No. You’re in labor. Come in.”I was like, “Okay.” Meagan: This is labor? Melanie: Yeah, I was like, “Oh, okay.” So I got to the hospital literally not dilated at all. I was maybe half a centimeter and they inserted the Cervadil at 9:00 PM which hurt really bad because it turns out if you are not dilated, it really hurts to get Cervadil inserted. Meagan: And if your cervix is posterior, it’s hard for them to get it into your cervix so that can also cause a lot of discomfort. Melanie: That’s exactly what it was too because I think they had a hard time. I didn’t even think about that. It was probably posterior. Man. Yeah, see? My body just wasn’t ready for that. But contractions did come eventually. I don’t know if Cervadil can cause it or if it was just time. I was going into labor but that was around 1:00 AM. The contractions started to get uncomfortable. I had not practiced coping with contractions at all because I was planning to get an epidural. I never had any inkling of going unmedicated or anything so this is where I think everything went south.This is where I just think it was the cascade of interventions. First I had fentanyl which I don’t know why because I think I was trying to delay the epidural for whatever reason. I don’t know why. I had fentanyl first. It was awful. It felt like I was so drunk. The room spun and it was terribl

“Labor is supposed to happen naturally. It’s not this big medical intervention that occasionally happens naturally. It’s this natural process that occasionally needs medical intervention.”Paige Boran is a certified nurse-midwife from Fort Collins, Colorado. She and her colleague, Jess, practice independently at A Woman’s Place. They have rights to deliver babies at the hospital but are not employed through the hospital system so they are not subject to physician oversight. Their patients benefit from a low-intervention environment within a hospital setting but without the restriction of hospital policies.Lily Wyn, our Content Creator and Social Media Admin, joins us today as well! Lily shares why she chose Paige to support her through her current VBAC pregnancy. Lily is a beautiful example of how to diligently interview providers, keep an open mind, process past fears with the provider you choose, and what developing a relationship looks like to create an empowering birthing experience. Paige shows us just how valuable midwifery care can be, especially when going for a VBAC. If you’re looking for a truly VBAC-supportive provider, this is a great episode on how to do it! The VBAC Link’s VBAC Supportive Provider ListA Woman's PlaceHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Paige: Yeah, so I’m a certified nurse-midwife. I work in northern Colorado in Fort Collins at A Woman’s Place. We’re a small midwifery-owned practice. Right now, there are just two CNMs. That’s the whole practice. It’s just me and my colleague, Jess, who owns it which is really cool because we get to push the boundaries because we are not really locked into the hospital system. We are able to catch babies there but we are not actually employed through the bigger hospital systems which is nice because we don’t have that physician oversight and stuff like that. I think we are able to do a lot more and honor that midwifery care model which is really cool. Sometimes people feel locked into policies and their overseeing physician and things like that but when it’s just two midwives, we get to do what we want and what feels best for the patient. I really like that. That was a big thing when I first got into the certified nurse midwifery world. I was like, where do I want to work? I had offers from bigger hospital systems and it just didn’t feel like the right fit so working at a small, privately-owned practice felt like the right answer for me so I was able to practice in a way I felt was right for people. I didn’t want to be locked in by a policy and overseeing physicians. I just wanted to grow with other midwives. Meagan: Yes. I love that so much. I don’t know. Maybe I should say I know it feels to me– I don’t know it as an actual fact, but that feels like a unique situation and a unique setup to me. We don’t really have that that I know of here in Utah. We either have out-of-hospital CPMs or we have in-hospital CNMs who are just hospital. I know that one hospital system is trying to do the attached birth center, but it is still very different. They are still the hospital umbrella midwives I guess I could say. So is that unique or is that just something that feels like it?Paige: I think it’s unique because where I came from in Florida, if you were a CNM, you 100% practiced in the hospital which we do but it was that you were owned by a larger group of physicians essentially. Florida was working towards independent practice when I was there. Colorado is an independent-practiced state for nurse practitioners which is really cool because we don’t have to have that oversight. I don’t know if Florida ever got there but I know it varies state to state on if you have to be overseen by a physician or not. Honestly, that’s why a lot of people when they are ready to become a midwife, if they don’t have independent practice rights as a CNM even if they are a nurse, they will go for a CPM which is a certified professional midwife because they actually have more autonomy to do what they want outside of the hospital because they are not bound by all of the laws and stipulations which is interesting. Meagan: Exactly. I think that’s a big thing– the CPM/CNM thing when people are looking for midwives. Do you have any suggestions about CPM versus CNM? If a VBAC mom is looking at a CPM, is that a safe and reasonable option?Paige: Absolutely. Yes. I think CPMs and CNMs are both reasonable, safe options. They both have training in that. They both can honor your holistic journey. I would say the biggest thing is who you feel most connected to because I think trusting your team, you will have people who have the worst birthing outcome and horrible stories but they are like, “I look back and I feel so good about it because I trusted my team.” I think that is what’s important. If a CPM seems like your person and that’s who you are going to trust, then that’s who you should go for whereas a CNM, if that seems like that’s your person and who you trust, I think that would be a good route too. I think a lot of people think, “Oh, they do home births. They must catch babies in a barn and there is no regulation. Even sometimes when I say, “midwife,” people are like, “What? Do you dress like a nun and catch babies in a barn?”Meagan: Yes, this is real though. These are real thoughts. If you are listening, and not to make fun of you if you think this, this is a real thing. This is a myth surrounding midwifery care, especially out-of-hospital midwives where a lot of people think a lot of different things. Paige: Absolutely. Meagan: I think I had a chicken chaser or something where a dad was like, “Do you chase chickens?” I was like, “What?” He said, “Well, that’s what the midwives do so that’s what the doulas do.” I’m like, “What? No, we don’t chase chickens.” Paige: That is such old-school thinking but realistically, midwives started in the home and that was their history. It’s cool that they’ve been able to step into the hospital and bring some of that back into the hospital because I think that is needed. Meagan: It is needed, yeah. Paige: We are starting to see that physicians are starting to be a little bit more holistic and see things in the whole picture, but I’m glad that the midwives did step into the hospital because I think that needed to be there but I’m so glad that people are still doing it at home because I think that is such a good option for people. Meagan: Yeah, so talking abou the midwives in the hospital, a lot of people are talking about how they are overseen by OBs. Is this common? Does this happen where you are at? You kind of said you are separated but do the hospital midwives in your area or in most areas, are they always overseen by OBs? Paige: Not necessarily. It would vary state to state and hospital to hospital. We actually just got privileges and admitting privileges a couple of years ago. Actually, my boss, Jess, who owns the practice where I work, had worked in Denver where they were allowed to admit their patients and everything. They didn’t have to have any physician oversight but when she was there, she had to have physician oversight. She was like, “It’s an hour drive north, why would that make a difference?” It was the same hospital system so she fought when she bought the practice and the physician who owned it prior left, she was alone and she had to have that physician oversight so she fought for independent practice privileges and she got it. Some of the midwives at first weren’t so happy about it because they had liked being overseen by the doctor and someone signing off on all of their things. Some of the midwives were like, “Finally. We should be able to practice independently.” It’s going to vary at each place. But I think that’s a good thing to ask, “If something is going wrong, will a physician just come unannounced into my room in the hospital?” That’s not the case with ours. We have to invite them in and if we are inviting them in, we’ve probably had a conversation multiple times with the patient where it’s like, we need to have this. Meagan: Yeah. For the patients who do have the oversight of the OBs, do you have any suggestions? I feel like sometimes, at least here in Utah with my own doula clients when we have that situation, it can get a little confusing and hard when we’ve got an OB over here saying one thing but then we’ve got a midwife saying another. For instance with a VBAC candidate, “Oh, you really have a lower chance of having a VBAC. I’ll support it. I’ll sign off, but you have a really low chance,” but then the midwife is like, “Don’t worry about that. You actually have a great chance. It is totally possible.” It gets confusing. Paige: Yeah, and it’s like, who do you trust in that scenario? I think that’s where evidence comes in because I think midwives and physicians both practice evidence-based but some people may have newer evidence than others. I’ve worked with OBs who probably roll over in their grave when I say certain things because it wasn’t the old way but it is the new way. If somebody can come in with their own evidence and they’re like, “I’ve looked into this and I think I’m a good candidate for x, y, and z,” I think physicians respond well to that because they are like, “Okay, they’ve done their research. Maybe I need to do some research.” Meagan: Yeah. Paige: When they have that thought, they know that this is an educated person and I can’t just say whatever I want and they’re going to take my word as the Holy Bible. Meagan: Yeah. No, really. Exactly. It always comes down to education and the more information we can have in our toolbelt or in our toolbox or whatever it may be, it’s powerful so I love that you point that out. I think it’s also important to note that if you do have two providers saying different things, that it’s okay to ask for that evidence. “Hey, you had mentioned this. Can you tell me where you got that from or why you are saying that?” Then yo

Happy National Midwifery Week!We are so thankful for and in awe of all midwives do. Great midwives can literally make all the difference. Statistical evidence shows that they can help you have both better birth experiences and outcomes.Meagan and Julie break down the different types of midwives including CNMs, CPM, DEMs, and LPM as well as the settings in which you can find them. They talk about the pros and cons of choosing midwifery care within a hospital or outside of a hospital either at home or in a birth center. We encourage you to interview all types of providers in all types of settings. You may be surprised where your intuition leads you and where you feel is the safest place for you to rock your birth!Midwifery-led Care in Low- and Middle-Income CountriesEvidence-Based Birth Article: The Evidence on MidwivesArticle: Planning a VBAC with Midwifery Care in AustraliaThe VBAC Link Supportive Provider ListNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, hey, hey. You guys, we’re talking about midwives today, and when I say we, I mean me and Julie. I have Julie on with us today. Hello, my darling. Julie: Hello! You know, sometimes you’ve just got to unmute yourself. Meagan: Her headphones were muted, you guys. Julie: Yeah. That’s amazing. Meagan: I’m like, “I can’t hear you.” You guys, guess what? This is our first month at The VBAC Link where I’m bringing a special subject. Every month we are going to have a week and it’s usually going to be the second week of the month where we are going to have a specific topic for those episodes of the week and this is the very first one. It is National Midwives’ Week so I thought it would be really fun this week to talk about midwives. We love midwives. We love them. We love them and we are so grateful for them. We want to talk more about the impact that they leave when it comes to our overall experience. Julie: Yes. Meagan: The overall outcomes and honestly, just how flipping amazing they are. We want to talk more and then we’ll share of course a story with a midwifery birth. Okay, Julie. You have a review. I’m sticking it to her today to read the review because sometimes I feel like it’s nice to switch it up. Julie: Yeah. Let’s switch it up. All right, this review– I’m assuming “VBAC Encouragement” is the title of the review.” Meagan: Yes. Julie: “VBAC Encouragement”. It says, “My first birth ended in an emergency Cesarean at 29 weeks and I knew as I was being rolled into the OR that I would go for a VBAC with my next baby. Not long after, The VBAC Link started and I was instantly obsessed.” I love to hear that. “I love the wide range of VBAC and CBAC stories. Listening to the women share honestly and openly was motivating and encouraging. As a doula, this podcast is something that I recommend to my VBAC clients. I’m so thankful for the brave women sharing the good, bad, and ugly of their stories and I’m thankful for Meagan and Julie for holding space for us all.” Aww, I love that. Meagan: I do too. I love the title, “VBAC Encouragement.” That is what this podcast is here for– to encourage you along the way no matter what you choose but to bring that encouragement, that empowerment, and the information from women all over the world literally. All over the world because you guys, we are not alone. I know that sometimes we can feel alone. I feel like sometimes VBAC journeys can feel isolating and it sucks. We don’t want you to feel that way so that’s why we started the podcast. That’s why I’m here. That’s why Julie comes on because she misses you and loves you all so much too and we want you to feel that encouragement. Meagan: Okay, you guys. We are talking about midwives. If you have never been cared for by a midwife, I think this is a really great episode to learn more about that and see if midwifery care is something that may apply to you or be something that is desired by you. I know that when I was going along with my VBAC journey, I didn’t interview a midwife actually at first. I interviewed OB after OB after OB. Julie did interview a midwife and it didn’t go over very well. Julie: No, it was fine. It just didn’t feel right at that time. Meagan: What she said didn’t make it feel right. What I want to talk about too and the reason why I point that out is because go check out the midwives in your area. Check them out. Go check them out. Really, interview them. Meet with them but guess what? It’s okay if it doesn’t feel right. It’s okay if everyone is like, “Go, go, go. You have to have a midwife. OB no. OB no.” That’s not how we are in this podcast. We are like, “Find the right provider for you.” But I do think that midwives are amazing and I do think they bring a different feel and different experience to a birth but even then sometimes you can go and interview a midwife and they’re not the right fit. We’re going to talk about the types of midwives. This isn’t really a type. We’re going to be talking about CPM, DEM, and LPM. Julie: In-hospital and out-of-hospital midwives, yeah. Meagan: Yeah, but I also want to talk about the word “medwives”. We have said this in the past where we say, “Oh, that midwife is a ‘medwife’” and what we mean by that is just that they may be more medically-minded. Every midwife is different and every view is different. Like Julie was saying, in-hospital, out-of-hospital, you may have more of a ‘medwife’ out of the hospital, but guess what? I’ve also seen some out-of-hospital midwives who act more like, ‘medwives’, really truly. Again, it goes back to finding the right person for you. But can we talk about that? The CPM or DEM? CPM is a certified professional midwife or direct entry midwife, right? Am I correct?Julie: Right. It’s really interesting because all over the world, the requirements for midwifery are different. You’re going to find different requirements in each country than in the United States, every state has its different requirements and laws surrounding midwifery care. In some states, out-of-hospital midwives cannot attend VBAC at all or they can as long as it’s in a birth center. Or sometimes CNM– is a certified nurse midwife which is the credential that you have to have if you are going to work in a hospital but there are some CNMs who do out-of-hospital births as well. There is CPM which is a certified professional midwife which a lot of the midwives are out-of-hospital. That means they have taken the NARM exam which is the national association of registered midwives so they are registered with a national association.Meagan: Northern American Registry of Midwives. Julie: Oh yes. They have completed hundreds of births, lots and lots of hours, gone through the entire certification process and that’s a certified midwife. Now, a licensed midwife which is a LDEM, a licensed direct-entry midwife just simply means that they hold licensure with the state. Licencsed midwife and certified midwife is different. Certified means they are certified with the board. Licensed means they are licensed with the state and usually licensed midwives can carry things like Pitocin, Methergine, antibiotics for GBS and things like that which is what the difference is. Licensed means they can have access to these different drugs for care. Meagan: Like Pitocin, and certain things through the IV, medications for hemorrhage, antibiotics, yes. Julie: Right, then CPMs who are certified, yeah. There are arguments for both. And DEM, direct entry midwife means that they are not certified or licensed. That doesn’t mean that they are less than, it just means that they are not bound by the rules of NARM or the state. Now, there are again arguments for and against all of these different types. I mean, there are pros and cons to holding certification, holding licensure, and not holding certification and not holding licensure. Each midwife has to decide which route is best for them. Certified nurse-midwife obviously has access to all of the drugs and all of the things. They are certified and licensed. You could call it that but they have to have hospital privileges if they want to deliver in the hospital. You can’t just be a CNM and show up to any hospital to deliver with them. They have to have privileges at that hospital. They have to work and be associated with a hospital just like an OB. An OB has to have privileges at any hospital. They can’t just walk into any old hospital and deliver a baby. Meagan: Right. I think it’s important to know the differences between the providers who you are looking at. Like she was saying, with a CNM, you are more likely to have that type of midwife in a hospital setting than you would be outside of the hospital but sometimes there are still CNMs who have privileges and choose to do birth outside of the hospital. I think it’s an important thing to one, know the different types of midwives and two, know what’s important to you. There are a lot of people who are like, “I will not birth with anyone else but a CNM.” That’s okay. That’s okay but you have to find what works best for you. Julie: Sorry, can I add in? Meagan: You’re fine. Yeah. Julie: It’s also important that you are familiar with the laws in your state if you are going out of the hospital. I don’t want this episode to turn into a home birth episode. It should be about all of the midwives in all of the locations, but also, know what the laws are in your state and in your specific area about midwives. In Utah, we are really lucky because we have access to all the types of midwives in all the different locations, but not everywhere is like that. Yeah. Just a little plug-in for that. Meagan: Yes. I agree. I agree. I did mention that I didn’t really go for midwifery care when I was looking for my VBAC– Lyla, my second. I don’t even know why other than in my mind, this is going to sound so bad but in my mind, I was told that midwives are undereducated. Julie: Less qualified? Meagan: Less qualified to suppor

Dr. Denise DeRosa is a Pediatric Physical Therapist from New York City. She had two Cesareans and was confident that those would be her only birth stories. But when she unexpectedly became pregnant with her third, Denise started looking into her options. She researched VBAC, found The VBAC Link, and felt that she could have a VBA2C. Having worked in the hospital where she planned to give birth, Denise knew she would face pushback. She knew they were skeptical and she knew they would try to meddle. She worked hard with her doula to get her mind solid, her body strong, and to prepare for any situation or anything that would be thrown at her. Ultimately, she believed in herself. So with an unsupportive provider in an unsupportive hospital with an apprehensive family, Denise’s preparation paid off! She labored hard, advocated for herself, and vaginally birthed a 9-pound, 5-ounce baby. Gina, one of our VBAC-certified doulas from California, co-hosts today’s episode and shares information about how C-sections affect an infant’s gut microbiome. She also mentions things we can do to help mimic the benefits of birthing vaginally if a Cesarean is necessary. Dr. Denise DeRosa's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to the show. We have our friend, Denise, from New York City with us today. Hello, Denise. Denise: Hi. Meagan: I’m so excited for you to be sharing your stories. You are a VBA2C mama just like myself. Denise: Yes, I am. That’s right. Meagan: Yes and when we were talking about the C-section aspect of things, it reminded me a little bit of myself. Didn’t dilate, baby didn’t come down. What do we know? We know that this is a very common, common thing. In addition to Denise, we have a very special co-host today and her name is Gina Benson. Hello, Gina. Gina: Hi. Meagan: She is one of our VBAC doulas. Tell us where you’re at, Gina. Gina: I am in the Sacramento area of California based in Roseville. Meagan: Okay, all right. Then we‘re going to make sure that she has her website and everything so if you guys are in her area looking for a doula, go check her out for sure. She is going to do a Review of the Week for us today. So I’ll turn the time over to you. Gina: All right. “I’ve waited and prayed about this moment to be able to write the words, ‘I got my VBAC’ feels surreal. Two years ago, I gave birth to my daughter via Cesarean and since the OR, I’ve been dreaming of a VBAC. It felt like a primal right I was robbed of. Yesterday, I gave birth at home with gestational diabetes to a 9-pound, 2-ounce baby. I pushed him out of my vagina, pulled him out of the water, and sobbed in joy relishing in my redemption and power. This would not have been possible without The VBAC Link. I listened every day postpartum, sobbed and cheered with the Women of Strength. I cannot recommend this podcast enough to all expectant parents. Thank you, thank you, thank you.” Oh my gosh, do you guys have the chills? Because I literally have the chills. You know how when as a woman you shave your legs and you’re like, Oh, I just felt my leg hairs grow? Yep, that just happened. Oh my gosh, thank you for such an amazing review and huge congratulations. I’m so glad that you’ve been able to walk the walk with us here at The VBAC Link. This is why we’re here. We want to inspire, encourage, empower, and help you know for yourself what is best for you. We don’t judge here at The VBAC Link, but we really, really do love your reviews. So thank you so much. Okay, so that review also talked a little bit about a big baby. Denise also had a larger baby with her VBA2C baby. I feel like there are so many things that are going to come together within this review and within everything. So, Denise, I want to turn the time over to you to share your C-sections to start and then your VBAC. Denise: Perfect, thank you. Hi everybody. I’m Dr. Denise DeRosa. I’m a pediatric physical therapist. I feel like I have to lead with that because who I am is what I do. That with motherhood is all merged together and really helped me in my journey for a successful VBAC. We’ll start at the beginning with my first baby. I was pregnant. Everything was going great. Everything was wonderful. I was still working. I had an uncomplicated pregnancy. The only thing that was a little off was that the baby was measuring big. I was like, okay. Whatever. It should be fine. Those machines are way off anyway. I go to 40 weeks, 40 and 1, 40 and 2, 40 and 3. I’m 40 and 5 days and my doctor is like, “All right. I want to induce you tomorrow.” I’m like, “Okay, sounds good.” I didn’t know anything. I worked at the hospital as well so I’m just trusting that we’ve got this and we were good. I loved my doctor. Everything was going great. That night before I went in to get induced, I actually did start feeling something. I was like, What is that? It feels like cramps or something. I don’t know. At 3:00 AM, I think I’m in labor. “Hon, get up. We’ve got to get to the hospital. Let’s go. Let’s go.” We get to the hospital. It’s 3:00 AM and I’m 3 centimeters dilated. I’m like, “Oh, okay. I guess that’s good. I don’t know.” We get all the things– the epidural, the Pitocin, and I pretty much just lay in the bed, sleep, do a puzzle game on my iPad, and relax because that’s what they tell me to do. It is very easy for me to relax now. It gets to be 11:00 AM the next day. I’m like, “I feel a little bit different. Can I be checked?” I get checked. 10 centimeters, wonderful, beautiful. They turn off everything. You know when they turn off that epidural, it’s like, bam. This is intense. Meagan: Especially when you were not feeling anything before. Denise: Exactly. Meagan: It can definitely pick up and be a little bit more than maybe you were expecting. Denise: Yes. I am in a Semi-Fowler position which is the one where you’re essentially leaned back but not all the way back. You’re inclined at a 45-degree angle. My hips and knees were at 90/90. It was essentially like I was sitting on the toilet but I was leaning back. I’m sure everybody knows the position that I’m talking about. That’s the position to push. My husband is holding one leg. The nurse is holding the other leg. My doctor is telling me to push. It’s just a disaster. I have to be honest with you. It was crazy because I didn’t know how to push so he was telling me to push like I’m pooping and I’m pushing like I’m holding it in. Everything was spasming and everything was just a disaster. I remember saying, “Let me get up. Let me move my body. I’m a physical therapist. Let me move my body. I just need to move around a little bit and I’ll be good. Just let me get up.” “No, you can’t get up. You have the catheter in.”Meagan: Intuition. Your intuition was kicking in to move. Denise: Yeah, exactly. My pelvis was stuck in the position. I was just lying there. The only thing they did was flex my knees up and down. I think I got the peanut ball at one point but it’s not like it was side-lying. There was no internal/external rotation. It was just one plain movement. Anyway, I pushed for 2 hours and nothing happened. My doctor was like, “All right. Why don’t we give you a break? We’ll turn on the meds. Relax for an hour and then I’ll come back and we’ll push again for an hour.” I’m like, “Okay, sounds good. I need a break. Wonderful.” A rest. He’s like, “But you know, if nothing happens, we’re going to have to get the C-section.” I’m like, “Okay, well let me try again.” No food. No water. Only Jello and ice chips. I hadn’t eaten since the day before. I was just so out of it between the drugs and the not eating. I did sleep a little bit when I was relaxing there but I was shot. My doctor came back after an hour and he goes, “Denise, I just went across the hall and the girl across the hall, I turned off her meds and she pushed 3 times and the baby came out.” I was like– let’s just say my hand went up in the air with one specific finger up. I essentially flipped off my– it wasn’t even the doctor. It was just the situation. I was like, “Forget this. This is ridiculous.” Okay? Now that’s the kind of relationship my doctor and I have that we can joke around and all of that stuff and after, I apologized. He was like, “Don’t worry. I deliver people in handcuffs. That was not the worst thing.” Meagan: What? Denise: Yeah, you know if you are stationed at the hospital, you deliver everybody. You know?Meagan: Yeah. Denise: What do you think happened? I stayed in the bed. I pushed. Inefficient pushing. Baby never dropped. I was dilated to 10 centimeters but nothing happened. Okay, by the end of it, I was like, “Please give me a C-section. This is the worst day of my life.” She came out. They lifted her up and everybody in there was like, “Oh my god. Look at this big baby.” I was like, “What is she, 100 pounds?” I was so delirious. You know, at that point you are so delirious. Anyway, it was a girl. She was 9 pounds, 10 ounces. It was a big baby. She never dropped down. I didn’t move my body and had a healthy baby, a healthy mom. Everybody was happy and I was just like, oh gosh. This is the best and the worst day of my life. When you become a mom, it’s just the best but maybe not the best experience. Meagan: Yeah. Denise: That was my first birth. At the time, I was like, okay. It is what it is. I’ll try harder for the second one. Now that I know what my body does, I’ll VBAC. My doc was like, “That’s fine. You can VBAC for the second, no problem.” Okay, great. In between my first and my second, I actually was pregnant and I was 8 weeks. I went to the doctor. I had a heartbeat but my doctor was like, “Come back in 2 weeks. Something is not right on here.” I’m like, “Okay.” I was going down the shore, the Jersey shore with my family. All 20 or us, a big Greek family vacation and I remember I was there and my doctor was like, “Okay, I want you to come back after that because the baby is measurin

Joining us from Texas today is Caitlin and it is her birthday!Caitlin’s first baby was born at 34 weeks via an emergency C-section due to elevated blood pressure and fetal distress. Though she was scared, it was not a traumatic experience and her recovery went well. She just knew that moving forward for future births, she wanted to experience labor and she wanted something different. Caitlin talks about the importance of knowing not just your provider’s general stance on VBAC, but their specific policies surrounding it. At 39 weeks, she went to the hospital with preeclamptic symptoms. Still counting on her provider to support her VBAC, Caitlin started to face things she wasn’t comfortable with. Her symptoms were under control, but she could tell that her baby wasn’t yet ready to come. She knew she needed to sign an AMA and go home. When the time came, Caitlin was able to advocate for the birth she wanted, declined the interventions she knew she didn’t truly need, and leaned on those who felt safe in her space. “Having the VBAC made me so proud and confident in myself and any future births that I’m blessed with.” Happy Birthday, Caitlin!!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello Women of Strength. You guys, I am so excited for today’s episode. We have our friend, Caitlin, from– are you from Texas? Where are you from?Caitlin: I’m from Texas, yes. Meagan: Texas. Yes. I wanted to say that then I started questioning myself. She is from Texas and we just went over a quick rough draft of all the things that happened in her birth and there are so many points I feel like to her birth. One, she’s a VBAC. She had preeclampsia with her first and her second. This is her second baby during her VBAC and with her first, she signed an AMA so we are going to talk about that and what that looks like. We’re going to talk more about preeclampsia. We’re going to talk about switching providers. One, switching providers but two, maybe trying to set ourselves up to not have to switch in the future and setting up ourselves to have a supportive provider from the beginning because she definitely had that and so much more. I’m really, really excited to get into the story. I do have a Review of the Week. This review is– I don’t actually know how to say the name. Sidsie, maybe? It says, “Such an amazing resource for VBAC-hopeful mamas and others preparing for birth who haven’t had a previous Cesarean. Their podcast has amazing birth stories and their blog has amazing articles. They have a ton of resources to find doulas and providers and are excited and happy to help support VBAC mamas. I recommend their podcast to my doula clients and I listen to each episode as it comes out. Definitely check it out.” I love that. This is a birth worker. Birth workers, we love you and we love your reviews. As you know, we do have a doula directory so if you are looking for a doula, these doulas are absolutely incredible. Go to thevbaclink.com and click on “Find a Doula”, search your area, and find out which doulas are close to you. Also, if you haven’t had a chance, I’m requesting a specific place for reviews today. If you would not mind, head over to Google at “The VBAC Link” and click on it then leave a review. I would absolutely love it. Meagan: Okay, Caitlin. I’m already so excited that I just am going to turn the time over to you but before I do, I have to say one thing. Caitlin: I’m excited too. Do it. Meagan: Happy birthday. Caitlin: Thank you. Meagan: It’s not your birthday the day you are recording, but we have determined it will be the day your episode comes out which we didn’t do on purpose. Happy birthday. Caitlin: Thank you so much. I appreciate it. Meagan: You’re welcome. You are welcome. All right. Well go ahead and share your stories. Caitlin: Okay, well I guess we should start with my first birth which was August 18, 2021. I was 34 weeks pregnant. I had lingering high blood pressure for about a week and it was elevating over time. My doctor was like, “Let’s look at the baby.” With that check, baby was showing signs of distress and it was pretty immediate and quick. We went in for an emergency C-section. In the moment, I was so scared. It was my first child. I know what that meant. I didn’t really care what that meant for my future births. I didn’t really think of what that might mean for my future birthing experience. My main concern was that my current baby isn’t doing well and let’s do what we need to do to keep him and myself safe. That’s how that went. I do want to say that my C-section was not traumatic. I didn’t have a terrible recovery. It really was all good. I just knew that moving forward for future births that I wanted to experience labor. I had never experienced labor. I wanted to have more children than just two so I knew moving forward from that the risks that come with it. That’s how my first kiddo was born. It was an emergency C-section. He was healthy. He was in the NICU for a little bit but that’s just because he was so little at 34 weeks. Meagan: You actually had a preterm. That was another thing I forgot I wrote down. You had a preterm Cesarean. Caitlin: I did. Yes. It was very quick. We were at my doctor’s appointment at 10:00 and got to the hospital and baby was born within an hour or two. It was a quick turnaround. It was a very high stress situation but it all worked out okay. Now my 3-year-old is wonderful. I’m grateful for how that all worked out and I’m glad that he was safe and that I was safe.That was my first birth. For my second, I knew that I wanted to try for a VBAC. I did extensive research and when I say extensive research, I mean I went crazy a little bit. No. there’s never too much research. I did obtain all of the information I could find. I was listening to podcasts 24/7. I looked at studies and articles and the actual science behind it all. I just dove headfirst into it and I knew that this was what I wanted to try for. I wasn’t scared of a repeat Cesarean. Again, I wasn’t like, I can’t do that again. I just knew this was the route I wanted to try to take. My due date for my second was August 19, 2023, so literally 2 years and a day after my first was born. I told my doctor at every single appointment even as early as it gets at the appointment where you hear the heartbeat and the appointment before they could even find the heartbeat, I was like, “I want a VBAC. I want a VBAC. I want a VBAC.” He was extremely receptive. He said, “You’re a perfect candidate.” He was super receptive so I felt really good about it. I was thinking about this last night with my husband as I was running through all of the little details and I think my provider being so on board made me feel like I didn’t need to do the little additional prodding questions to make sure that it was going to work out. It just seemed like every time I brought it up that it was a no-brainer. It was going to be VBAC fine. That’s kind of your caveat for later but I felt like it was all going to be great. My provider was on board and that’s the number-one checklist. But the thing I didn’t do was ask him specifics. I didn’t ask if I needed an induction, what does that look like? I didn’t ask him, how many successful VBACs have you done? What is your approach if x, y, and z happens? I didn’t get details because it just seemed so positive the whole time. Meagan: And that’s the hard thing. It can be so easy to be like, “Hey, I want a VBAC. Do you support that?” “Yeah. Cool, no problem. Yep. Of course, we do. No worries.” Or like you said where he was like, “Yes, I know you want a VBAC. Let’s move on,” instead of talking about that VBAC. I feel like that was maybe a little bit of a flag in ways. Caitlin: Yes. I should have picked up on it because it got to the point where I would walk into an appointment and the first words were, “I know you want a VBAC. We’ve got that.” I’m like, “Okay, great. We’ve got it.” I think I was a little naive that that was him checking that off the appointment list maybe and being like, I don’t actually need to give this girl a VBAC when push comes to shove. Meagan: Or tell her anything, yeah. I really encourage people to ask open-ended questions like you said like, “How many VBACs do you support? How do you feel about VBAC and what does it look like? For some reason if I have to be induced, do you induce them and what does it look like then?” and all of those types of things. Caitlin: Definitely. Definitely. I started to feel all of this pressure because toward the end, we didn’t really talk about a plan. Then the language changed to, “We can’t really make a plan because we just have to wait and see if you’re going to go into labor.” So then I was like, “Oh dang, then I really need to go into labor.” Then we got to 36-37 weeks and I’m getting more and more in my head, “What if I don’t go into labor? What happens next? We still don’t have a plan.” We started to do membrane sweeps. I got three membrane sweeps and I did them on the time period– I don’t remember what it was. I think if you do two within 48 hours or something like that, people say– I don’t know who people are. I was just a maniac with my research and they were like, “Maybe that will increase your chances of your body going into labor on its own.” I did three membrane sweeps trying to get the ball rolling. I stayed at 1 the whole time. No changes. I was doing all of the things at home up to week 39. I was eating dates, curb walking, drinking raspberry leaf tea, bouncing on the ball. I was pumping colostrum. My baby is 9 months old and I still have colostrum in her freezer. Meagan: Holy cow, girl. Caitlin: I was doing everything begging my body to please do this for me. Please. There were no changes. Meagan: It wasn’t listening. It wasn’t ready. Caitlin: It wasn’t. I was also forgetting to consider the fact that my body with my first did not go into labor. This was my first real experience with ch

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