DiscoverThe VBAC LinkEpisode 346 Katie's Placental Abruption with Twins + VBAC After Four Membrane Sweeps + IVF & Retained Placenta
Episode 346 Katie's Placental Abruption with Twins + VBAC After Four Membrane Sweeps + IVF & Retained Placenta

Episode 346 Katie's Placental Abruption with Twins + VBAC After Four Membrane Sweeps + IVF & Retained Placenta

Update: 2024-10-23
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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 Parents

Full 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

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Episode 346 Katie's Placental Abruption with Twins + VBAC After Four Membrane Sweeps + IVF & Retained Placenta

Episode 346 Katie's Placental Abruption with Twins + VBAC After Four Membrane Sweeps + IVF & Retained Placenta

Meagan Heaton