Episode 339 Caitlin's VBAC with Preeclampsia + Signing an AMA & Switching Providers
Description
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 Parents
Full 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