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    Kids & Family

    The VBAC Link

    Here at The VBAC Link, our mission is to make birth after cesarean better by providing education, support, and a community of like-minded people. Welcome to our circle, we are so glad you are here!

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    Latest Episodes:
    Episode 264 Ali Levine’s HBAC + The Practice of Breathwork Dec 06, 2023
    Show notes

    “Feel it to heal it.” Ali Levine is back with us today sharing her HBAC story! Ali was first with us on Episode 166 where she shared the details of her transformational VBAC. Ali and Meagan reflect on the growth they both have experienced since they last chatted. Ali is now a certified breathwork practitioner and intuitive stylist. She talks about how through regulating the breath, we can better surrender and allow our true selves to shine through. Ali experienced this firsthand as focused breath helped her stay calm through her baby’s shoulder dystocia and allowed her to surrender to the guidance of her midwife. She was able to achieve the home birth she knew she could have! Ali shares how important breathwork is in allowing us to release fear, anxiety, trauma, stress, or any other negativity that our bodies hold. And it’s a process! By giving our bodies lots of opportunities to breathe, relax, and release, we allow beautiful healing to take place. Additional LinksThe VBAC Link Podcast Episode 166Ali’s Website Awakening with Ali PodcastAli’s Breathwork AppThe Lactation NetworkHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello everybody. You guys, it’s December. How are we at the end of 2023? I cannot believe it, but I am so excited to be kicking the month off with our friend, Ali. She has been with us before, so welcome, Ali. Ali: Thank you. Meagan: Yes, I’m so excited to have you on the show again. She shared her C-section and VBAC journey a while ago because she is Episode 166 and we are now at 264 so almost 100 episodes ago. Ali: Wow. Meagan: So crazy. She’s back today to share her HBAC story, but not just that amazing part, she’s also going to talk to us about breathwork and her journey to become certified as a breathwork practitioner. She is a breathwork practitioner, intuitive stylist, and transformation expert. What exactly is a breathwork practitioner and transformation expert? Can you tell us a little bit more about that? Ali: Yeah. Well, I’m just so excited to be back here with you. Can I just say when you said about 100 episodes, I had such a reflective moment as we were sitting here? I’m like, “Wow. 100 episodes.” Thinking about how much both of us have evolved and grown and shifted, I feel like that’s so important to start with because as mothers, I feel like we don’t necessarily get that time to reflect and look at our growth and look at our evolution. So much of doing that allows us to continue to move forward. I’ve learned so much in my journey. It’s not only the healing work around it but the true reflection and celebration of, “Wow. Look how far I’ve come.” Yeah. I first came to you guys. I was listening to the VBAC podcast. I was pregnant with Amelia almost five and a half years, almost six years ago. She’s five and a half. It’s crazy. I was listening to your podcast and I had my C-section with her. I started listening to The VBAC Podcast to start to understand what was possible and what I could do, then 2020 came and I had Arlee, my second daughter. I had my VBAC in the hospital and then as you said, moving forward into 2022 and having my son and my first HBAC which is a home birth. It’s so cool. You said about 100 episodes and it’s so cool. It’s like, “Wow.” Think about that and the time and evolution even with your podcast and what you guys were doing what you are doing now and when I met you guys and when we first connected, getting to share my story then and then coming here. So I just think it’s really cool to start with that first, right? The journey before we talk about what are these “titles” that we all have. I feel like it’s so much more important and so much juicer. You just feel it so much more when you hear, “Hey, yeah. Okay. This is what people call me, but really at the end of the day, what’s the journey? What’s the story?” That’s how we are going to support each other, help each other, and be of service. So hi, everyone. I’m Ali Levine. If you don’t know me, go back and listen to, of course, my other stories. I’m so excited to be here. A certified breathwork practitioner is someone who, of course, is certified in the work of breathwork. Breathwork is regulating your nervous system through different types of exercises. When people hear regulating their nervous system, some people don’t even know what that means. To break it down really simply, basically think about visually that you have almost this computer in the bottom of your body that is sitting like this hard drive. Think of your whole body as a computer and the hard drive is sitting basically at the bottom, kind of near your womb space and kind of near your stomach in the lower area, okay? It’s sitting there. It gets filled up consistently with files and junk and stories and limiting beliefs and people around us, family, friends, all of the things and our own things. It all fills up. Meagan: As it does every day. Ali: Every single day, every single moment. It’s just the way that life is. What happens is that system basically moves into a disregulated system. Speaking of birth, when we talk about having a baby and when our baby is first born, of course, they take their first breath when they actually enter this world earthside. If you look at your baby and you watch how they breathe, they breathe from their stomach to their chest deeply and out. That is a sign of a parasympathetic nervous system which is the true homeostasis of how we enter into this world. It is a rest and digest place. Most of us are not in that state anymore. We are in a sympathetic nervous system. So when we speak to breathwork, we are moving ourselves back from that reactionary state of that fight, flight, or freeze, that triggered state that happens continuously and moves us back into the flow of how we came into this world which is so perfect of course speaking to birth and what you talk about on the podcast. When you think about that and you think about that flow and how that feels in the body, and you start to come back to that rest, that’s what breathwork does at a very basic level. That’s what is means to regulate your nervous system. The basic benefits of breathwork are just allowing the nervousness to fall off– anxiety, depression, sadness, and stress. It gives you better sleep. It builds up your immune system. It builds up your gut health and all of these things because you are bringing more oxygen into the body and then you do it on a normal basis. We are all breathing, of course, because we have to breathe to be here on the planet, but we are not actually consciously breathing so what breathwork does and what it means is that not only regulating your nervous system, but you are allowing different types of breathwork exercises which is what I guide you in being certified in this work and trauma-informed. I take you through different exercises through your nose and through your mouth. Maybe if we have time, we will do a quick one so that people can experience it. Meagan: Yay!There are different ways of doing it and there are all different types of breaths that will lead you. It can be anywhere from literally two minutes to an hour getting into a full meditation. When you do this practice over and over again, you start to notice that not only do you start to release everything that you are holding consciously or unconsciously, but you do start to notice the benefits that I spoke to. What I like to say is that I help people, especially mothers and women, shift from lower states of consciousness to higher states of consciousness. You go from that triggered state, that reactionary state into actual authenticity of who you are as a soul, more peace, more love, and more calm and you are able to show up better as a mother, as a partner, and all of the things that you do in your job or whatever it may be. That is where my heart is. When we say “practitioner”, some say “facilitator”. Some say “practitioner”. Practitioner for me speaks more to my soul because it is more about the practice, the art, and the modality, versus facilitating the space. Of course, I do both, but I feel like I allow and open that up. It’s where I shine and help my clients. The intuitive peace of styling as you know, when we first met, I had been a celebrity wardrobe stylist for many years and I rebranded after my motherhood journey and postpartum depression and all of the things I went through. The intuitive is more tapping into what I learned from my own journey of what really feels good on you versus the trends. What really feels good on the body because it’s all connected– mind, body, and soul. Even when we start the day, even if we are in our sweats as a busy mother, it’s being conscious of, “Maybe I don’t want to wear that gray t-shirt because I’m going to notice that my mood actually shifts.” Helping people get conscious in their closet and understand that there is a frequency to everything. Everything is energy so what you put on in and out is so important. Hence, intuitive stylist. And then of course, that brings us to transformation. The more you do this and embody this work and allow that surrender, you can move into actual transformation which is what I love to help people with because I’ve gone through my own transformations over and over again. Meagan: Yes. I love that so, so, so much. You had written in your bio, “You help your clients breathe through their closet to tap into the design of their soul and come home to themselves through the wardrobe of their dreams”. That’s so cool. Ali: Thank you. Meagan: I just love it. I just love it. I love it so much. Thank you so much for breaking it down and explaining because it’s like, “Okay, breathwork practitioner. What is that?” You know? Just hearing you, I can hear your energy and I can just feel it. Oh, I could just feel it from you. I can see it. I mean, they can’t see you but I can see you. I can just see it and feel it. Oh, I’m so excited to dive into this episode. Review of the WeekMeagan: But of course, we have a Review of the Week, so I’m going to hurry and do that before we jump right in. Okay, it’s not a super long one, but it is by kchidster. It says, “Amazing. Thank you, thank you, thank you. This podcast was my saving grace. Could not have had my VBAC without these ladies and their stories of encouragement and wisdom. A must-listen to anyone wanting to TOLAC.” If you are new to this podcast, that is a trial of labor after a Cesarean. It says, “Keep up the great work. I thoroughly enjoy listening. Ladies, we can do hard things.” I could not agree more. Women of Strength, you can do hard things. There are sometimes things that sound impossible or feel impossible and like Ali was saying, maybe our compartment is on overdrive. We’ve got too much going on and we need to get things going and start working through our breathwork and finding ourselves again, but it is possible. It is 100% possible. Ali’s stories Meagan: Okay, darling. Oh my gosh, I mean, you just spoke for three minutes maybe and I’m like, “Ahh, let’s just keep hearing from you,” so I’m going to turn the time over. Ali: All right, cool. Well, thank you. I’m so excited to get to share this journey. So where do we want to begin? Should we start going back? Meagan: Your HBAC, yeah.Ali: Okay, my HBAC. Yeah, okay. Meagan: Well, and if you want to re-highlight a little bit, if you want to hear the full story, episode 166 is the full episode, but why don’t you talk about like we were saying at the beginning, the journey through 100 episodes, but there was a journey before that too, so touch on all of the journey. Ali: Okay, cool. All right, well thank you. Yeah. I mean like you said, I love that review that came in of how you can do hard things. I think so much, especially as mothers or mothers-to-be, we can get so in our minds. We can get so in the limiting beliefs and like, “Oh, I can’t do that or I won’t be able to,” or we are told by someone that it won’t happen. It can’t happen. But guess what the most amazing thing is? We are divinely created this way so when we can get out of those limiting beliefs, when we can get out of the mind which is why breathwork is so, so powerful, we get into the wisdom of the body and we can actually listen and receive our body.Then we recognize, “Oh, actually, I can do this and more,” which is why obviously, people who are listening to The VBAC Podcast are having these amazing VBACs. Same with my story, it was like, hey. I had a C-section five and a half years ago back in 2018 with my first daughter. It was quite a traumatic birth. 42 hours led to a C-section. I wanted to have a natural birth with a midwife at a birth center. It didn’t work out that way. She didn’t progress. You can go back and hear the whole story, but I didn’t progress. Didn’t happen. Fast forward and I had the C-section. Then after that happened, I went through a pretty heavy postpartum depression journey. After finding myself all over again, or a new version of Ali, and reinventing myself and finding that empowerment and that freedom and all of the work I had to do, meditation, affirmations, prayer, and all of that led me to breathwork. That was where my next journey began. Breathwork really started to change my life in how I showed up, how I viewed my body, how I viewed my story, my baby, and my motherhood journey. It went from being a very dark place to a very bright place and seeing that there was healing within that. There were lessons within that first birth. There were all of these things to learn. I think that’s important to say, Meagan, because I feel like I personally, and I’m sure many other mothers can agree, shamed myself and they guilt themselves through what I could have done, what I should have done. They play the victim mode.I was blaming everybody around me– my parent, my friends, this person, that person. We can blame all we want and we can have all of this shame and this guilt, but it doesn’t actually do anything for us. It actually debilitates us from moving forward. So the more we heal that space and then also see it as, “I had lessons to learn here. There was growth here. There was evolution,” which is what I had to do in my own healing work and really move myself out of the victim to the victor in my life. Move myself out of the victim mode in saying, “I’m going to blame you. I’m going to blame you,” and take full responsibility because, at the end of the day, we have to be responsible for ourselves and say, “Okay. I chose to listen to stories. I chose to take on the noise that came to me,” instead of creating sacred boundaries and understanding that I do have the wisdom. I do have the knowing. So that’s what led me to you guys and listening to your podcast and then finding a chiropractor for my second pregnancy with my daughter to finding a doula who helped me advocate for myself and understand that I could ask those hard questions to help me fire my doctor who told me I couldn’t have my VBAC. I’m putting quotes because they love to tell you that you can’t do this. And then, of course, this is not medical advice, but advocate for yourself. Ask the question, “Why can’t I? What is it?” For me, it was literally just someone who saw me as “You had the C-section, you’re always going to be a C-section.” I wasn’t willing to say yes to that. I wanted a VBAC. I wanted to advocate for myself and luckily, in having those sacred boundaries and having the empowerment and healing I had done, I was then able to move into 2020 and have my second daughter and have a VBAC. During that time, obviously, we all know what went on in the world during 2020. It was a crazy, crazy, traumatic time to say the least. I was also living in California at the time so it was extra crazy. I now live in Tennessee, but I was living in California at the time. The fear, the limiting beliefs, and everything started coming back up for me. I thought all of the healing work I had done wa…

    Full show notes at the publisher

    Episode 263 Petra's VBA3C + Reclaiming the Power You Already Possess Nov 29, 2023
    Show notes

    Petra joins us today from Modesto, California sharing her unmedicated, hospital VBA3C story! Petra learned and grew from each of her three C-section births which paved the way for her to manifest the birth of her dreams with her fourth. Though she had very little support around her, Petra stayed steady. She continued to prepare her heart, mind, and body for the physiological birth she knew she could have. She tuned out the negativity. She trusted the path she knew she was supposed to take. Petra was thrilled to experience labor when the time came. She knew what to do. Her education and preparation paid off. She labored hard at home and went to the hospital when it felt right. Two hours later, Petra was crying tears of joy with a sweet baby on her chest. Petra is forever changed by her empowering birth experience and has now dedicated her heart’s work to helping other women do the same. Additional LinksPetra’s WebsiteThe VBAC Link Blog: VBAC After 3 C-sectionsNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello. I hope you guys had a wonderful Thanksgiving. We are back with another story for you. Today we have a VBAC-after-multiple-Cesareans story. In fact, it is a VBAC after three which is a little bit harder to find information on and to find support for. We have our friend, Petra– look, I almost did it. Petra. I asked her before the episode. Pay-tra? Petra? I had a neighbor, so in my head, it just went, “Pay-tra”. Anyway, hello, hello. Welcome. Petra: Thank you. I’m so happy to be here. Meagan: Yes, so happy. You are from California. Is that correct? Petra: I am, yes. Meagan: Was your VBAC after three C-sections in California? Petra: Yes. Meagan: I feel like especially when we have VBAMC, we have so many people writing in saying, “Where did this person go and where are they located? Because if they are in my area, I need to find that provider or I need to research.” It sucks, but we don’t get the support after multiple Cesareans more often than not. Of course, through your episode, feel free to share and name-blast anyone in a positive way of course. Send those names out to the audience because I’m sure that they will want to research your provider. Review of the WeekOkay, so as always, we have a quick review. This is by cve18 and it was actually written in 2020. It says, “Gave me courage. This podcast is everything I needed to switch to a supportive instead of a tolerant provider at 28 weeks pregnant. The education and information I have learned is immeasurable. I have been researching and discussing with my husband to get a doula and all of the things to help me get a successful VBAC in December. Thank you for all of the things and I know I will have done everything I could for my future VBAC.” Thank you so much for your review and as always, you guys, we are always loving your reviews. You can go to Google. You can go to Apple Podcasts. Wherever you can, drop us a review because it may be read on the next podcast. Petra’s StoriesI just want to tell people a little bit more about you. Guys, she is a birth doula and if you haven’t noticed on this podcast, we love doulas. She is a birth doula, a birth educator, an advocate for VBAC, and a birth coach who had the most transformative vaginal birth after three C-sections. She now works with women who are ready to strengthen their authenticity and help them not only become healthier mentally, but have the pregnancy, birth, and postpartum experience they’ve dreamt of without feeling the fear and or inhibit– Oh my gosh. How do I say the word? How do I say the word? Petra: Oh my gosh. I think I need to change that word. Meagan: Inhibitions. Petra: So they don’t feel—Meagan: So they don’t feel– Petra: Inhibited. Meagan: Inhibited. Yeah. I couldn’t spit it out. Okay, and hold them back. Okay. We’re back on track. Okay. She wants to help women reclaim the power that they already possess. That right there, I just love that. Women of Strength, I want you to know this. You have the power. You already possess it. This is why I love this so much. You are reclaiming the power that you already possess so we can help break the cycle. Right? Let’s break the cycle that is no longer serving us. The cycles are no longer serving us. That introduction– I’m sorry. You wrote that. I just read what you wrote and apparently couldn’t even read what you wrote, but that is so powerful. So thank you. Thank you for writing that. Petra: Yeah, of course. I just feel like these are all barriers that I had. Going through each one of my pregnancies up until my VBAC and now in my support of clients that I have, it’s huge. It’s a huge barrier. So if it’s okay, I’m going to start placing you in my story. Meagan: Yes. Yes. Petra: Okay, so it all started. I was a teen mom. I had my daughter a month before I turned 17. I was 16. Obviously, it wasn’t planned but it happened and it was the best thing that ever happened to me. Even though I had zero support from family and a lot of people, I went on to– let’s just go straight to the labor. I was in labor for a couple of hours. I went to the hospital. I rushed there because that’s what I see in the movies. Meagan: Right. That’s what we’re taught. Even today, that’s what we’re told by our providers. You have contractions. Your water breaks. You come in. Petra: Yes. Exactly, so that’s what we did. I took a shower and rushed to the hospital. I got there. They stuck me on monitors and told me to stay in bed so that they could see the baby on the monitors and make sure baby is doing okay. I didn’t know any better. I didn’t educate myself. I was a teenager. I was so scared and I had no idea what to expect other than what I had seen in media, movies, and all of the stuff. I never really talked about what could happen with my mom or anything like that. I was just like, “I know what I’m doing.” I was that person. “I’ve got this. My body was made to do this. It will just know what to do.” Well, yes it does, but when you are in a hospital setting and they have certain policies or expectations for how your labor should go, it’s different. So yeah. I was hooked up to the monitors. I was there maybe 6 or 8 hours. I didn’t progress past a 4 for a couple of hours and they told me, “Okay, the baby’s heart is dipping. We’ve got to get to an emergency Cesarean.” Meagan: Whoa. Petra: I was like, “Whoa, what?” I was just so taken aback. I didn’t understand because it was like all of a sudden, everyone was rushing. I’m like, “What is happening?” She’s like, “Your baby is in distress. We have to take you to an emergency Cesarean.” I was like, “Okay,” because she said, “You don’t want your baby to die, right?” I was like, “Of course, not.” I mean, who wants their baby to die? Come on. That’s horrible language to give to somebody. Meagan: Yeah. Those words matter. Petra: Yes. Yes. Oh yeah. I mean, look. My daughter is 18 now and that’s ingrained in my brain forever. Anyway, I went back for the Cesarean and once we got in there, nothing was an emergency. Everything was slow. I was like, “Wasn’t this an emergency? Aren’t you guys in a hurry?” I could hear the doctors talking to each other as they were opening me up and everything. They were talking about, “Oh, now I’ll get to make my dinner, my dinner plans.” Meagan: They were saying that out loud? Petra: Yes. Meagan: Oh, I don’t like that. Petra: Yes. They were talking to each other. I was just like, “Am I really hearing this right now?” I was like, “Oh gosh.” So anyway, I was so drugged up. I was in this fog. They were like, “Here’s your baby.” I didn’t even know what was happening. They brought this baby to me wrapped up in a million blankets. All you could see was literally the little circle of her face. You couldn’t see any other body part of her. I was like, “Oh, okay.” They were like, “Oh, kiss your baby,” and brought her to my face. I was strapped down to the bed. It was horrible. I was like, “This sucks. This is weird. What? This is birth? I don’t like it.” But after I had my daughter, I was so obsessed with her once all of the drugs wore off. It was blissful in the sense that I just loved her completely. It was a hard postpartum recovery because you had a major abdominal surgery. I didn’t plan for any postpartum support. I was just flying by the seat of my pants. We had a nonexistent breastfeeding journey because I didn’t know what to do. I didn’t know who to call to get help but we just made it through. You know, you just get through it. I want to fast forward to my next birth. My daughter was about 8 years– no. Yeah. 8 years later– 10 years later. Oh my gosh, my brain. 10 years later, I was with my then-husband– well, now husband and we got pregnant. Then at my 20-week ultrasound, my doctor was like, “You have placenta previa. You have to have a C-section.”I wanted to have a VBAC, but once she said that she was like, “It’s a non-negotiable. You cannot.” Meagan: At 20 weeks though?Petra: Yes. Yes. She was like, “It’s fully covering your cervix. There’s nothing we can do. It’s not going to move.” I was like, “Well, okay.” In my head, I’m like, “Well, you know best. You’re the doctor.” I didn’t do my research. I didn’t realize that it could move and at the 20-week mark, that’s not really a good gauge for your placenta staying that way. So anyway, I did end up having her at 36 weeks. It was a planned Cesarean. Meagan: 36? Petra: Yes, because I had a little bit of spotting. It was literally a couple of drops of blood and the doctor was like, “Oh no. We need to have the C-section right now. This is an emergency.” It was crazy. I just felt like everything was a whirlwind and everything was telling me, “I had to. I had to.” There was no other choice given to me and no other option. I just believed in the medical system so much because I have a lot of family that is in the medical system. Anyway, we did it and then for my third baby, so going on to my next daughter, this was four years later. She was a planned Cesarean because my doctor said, “We don’t support VBAC. We have a VBAC ban at this hospital. We won’t. We’ll turn you away.” I was just like, “What?” I just was so confused at all of this language being thrown at me. So she was like, “This is the safest route for you. Your uterus could rupture. Your baby could die.” All of the language is horrible to tell a mom who– of course, you don’t want your baby to die or anything bad to happen to them. Meagan: You’ve been told now twice about emergencies and that your baby could die. Petra: Yes. Meagan: Ugh, I don’t like that. Petra: Right. You know, talking to my husband, he was like, “Well, if the doctor says it’s the safest route, I guess.” So we did have a planned Cesarean at 39 weeks. But you know, with that pregnancy, I felt like I was ready to give birth at the end. I was like, “Oh my gosh. I feel so good. I feel like I could really have her. We had already scheduled the C-section and my husband was like, “Well, let’s just do it. We know what to expect.” I was like, “I guess.” Everybody in my family was like, “I think that is safest for you. That’s probably the best option.” Nobody really even has C-sections in my family. Everybody gave birth vaginally so they hear C-section and they’re like, “Well, you can’t,” because they heard the “once a C-section, always a C-section.” We just had her. It’s rough. Every C-section I had, I felt so disconnected from my babies. The breastfeeding journey was hard or nonexistent and I just felt broken. I was like, “What is wrong with my body? Why can’t I do this?” It felt so heartbreaking because you’re a woman and your body is made to give birth so when doctors say, “No, your body can’t,” you’re like, “Wait, what?” You feel like you should trust them because they see birth so often. After that birth experience, we decided we wanted to have one more baby. I told my husband, “Absolutely not do I want to have another C-section.” I said, “I don’t care what it takes. I’m going to prepare my mind and body and I’m doing this.” Because we also were going to have the babies two years apart, so I was like, “I don’t want to be running after a toddler and having a major abdominal surgery.” Meagan: Right. Petra: Once I started diving into the VBAC world, I found your podcast and was binging it like crazy. Meagan: Oh. Petra: It was so helpful hearing all of the positive stories of women succeeding in their VBAC goal. I hate to even put it that way because of course, we all want to have that VBAC if we are planning for it, but if you don’t have it, it’s not that you fail so I hate even putting that language towards it. It’s just nice hearing those stories where they did it. I listened to all of those stories and I tried to find providers. This was before I was even pregnant. I couldn’t. First off, obviously, I started with my OB who delivered my other two babies. She was like, “Absolutely not. This is dangerous. You could die. Your baby could die. Your uterus can rupture.” All the words. All the words. I was just like, “Oh my gosh. Here we go again,” but this time, I was educating myself. I was going full force into what I wanted to accomplish and that was my VBAC. Once we did get pregnant, I started calling midwives and doctors in the area. I called my local ICAN group and I got in touch with the ICAN leader. She referred me to all of the providers in my area and outside of my area that supported VBAC after three C-sections. After that, I found nobody supportive in my area. But I knew–Meagan: But they were on the list or they were just in your area? Petra: Yeah. After talking to my husband and discussing our options, we decided that it was not in our best interest to have to drive 4-6 hours outside of where we live because we have three other children. Meagan: Right, the logistics. Petra: Yes, work and at the time, we had just moved. We moved into this home where our rent was now three times what we were used to. It was a little tight and before this, I didn’t know about Be Her Village. I am all up in Be Her Village’s world now. Meagan: Oh my gosh. I love Be Her Village. Petra: Me too. Meagan: I love Kaitlin and her crew. Oh my gosh. Petra: Yes. I tell all of my clients and everybody. I shout it from the mountaintops, “Check out Be Her Village. If you want support, go to them. Go to them. Go to them.” Anyway, I wish I would have known about them back then. We are there now. We decided that we were just going to do what we could with what we had. I switched providers. I think I was about 30 weeks by the time I was able to switch insurances because I had to switch insurances and I wanted to switch to Kaiser. In my area, it’s Kaiser Modesto. I knew they were supportive of vaginal birth after two C-sections so I was like, “Oh, okay. That’s only one less than I had and maybe it will be supportive.” I went forward with that. I went to my first doctor’s appointment and I told the lady, “I’m having a VBAC,” and she was like, “Absolutely not. That is ridiculous.” I was like, “Well, I’m doing this. I understand your concern. I already know what you’re going to say because I’ve heard it all before. I’m planning to do this, so this is what I’m doing.” She was like, “We need to schedule your C-section. I have to do it.” I was like, “I’m not going to show up. You can schedule it all you want, but I’m not going to go.” Meagan: You have to do it. Petra: Yes. Meagan: Have to. Petra: All of the have-to’s. After that, I had another appointment with her and she said the same thing, “Let’s schedule your C-section,” right when I walked it. I was just like, “No. I already told you last time that I’m not going to show up. You can schedule it but I’m not going to go in.” She said, “Well, now I have to refer you to the maternal-fetal medicine doctor.” I was like, “Why?” She was like, “Because you’re high risk and you’re planning to do a high-risk thing, so I have to give you to them.” I was li…

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    Episode 262 Becky's HBAC + Changing Providers Late-term + Asynclitic/Posterior Positioning Nov 22, 2023
    Show notes

    “It’s very fitting that this is going to come out just before Thanksgiving because I feel very, very fortunate.”Becky’s two babies were both posterior and asynclitic. They weighed exactly the same at birth, but their deliveries were very different. Becky shares her sweet experience going from skepticism around home birth to fully embracing all that it has to offer. Her first birth included residual trauma which made for a very difficult postpartum period. Her second birth was full of safety, peace, and healing which left Becky feeling so joyful, so strong, and so thankful. Happy Thanksgiving week to all of our listeners. We are thankful for your stories. We are thankful for your love for us and for each other within our VBAC Link community. Your commitment to healing, education, and better birth experiences lifts us all and makes the birth world a better place. We are thankful for YOU, Women of Strength! With love, The VBAC Link TeamAdditional LinksThe Lactation NetworkHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello. Welcome to The VBAC Link. You guys, this is my first episode back from taking a really big break through the summer. You guys have still had episodes, but I recorded up through May right before my kids went to school and then took the summer off so I could have fun and spend time with them. I’ve got a middle schooler who went back to school today for the first time in middle school. It was bittersweet then I’ve got a fourth grader and a second grader. So they are back to school today and I figured, “All right, let’s get back to school today.” We’ve got Rebecca with us. Welcome, Rebecca. Becky: Hi. Meagan: Hi. Thank you so much for being here with us today. Rebecca is from Seattle, correct? The suburbs of Seattle?Becky: East side, yeah. Meagan: She is going to be sharing her VBAC story with us today. Her VBAC– we were just talking about this before we pressed record. It has a lot of things. We’ve got– okay. Do you want me to name it or do you want to go through it? Becky: I can name it. There was a late-term transfer to home birth with a sort of faux dual care that ended up not being dual care just before I went into labor and pushed on my back and a posterior and asynclitic baby. Meagan: Yes. Right there, posterior and asynclitic– those two together are like, whoa. It’s awesome because a lot of the time, that is a reason for a C-section. Asynclitic or posterior, but when we have an asynclitic and posterior baby, that definitely adds some things so I’m excited for you to be sharing your story with us today. Okay, so her name is Rebecca but do you like to go by Becky? Becky: Yeah, actually you can call me Becky. That’s fine. Meagan: Okay, yeah. Becky. I was going to say as I was reading through your form, I remembered seeing Becky. Yeah. Becky is a music teacher from little babies all the way to my oldest, middle schooler age. Let’s see. You do voice and Music Together and composing and all of the things. So music is definitely really, really close to your heart. I love that in your bio thing that you gave me, you talked about singing in your C-section, right? Becky: Yeah, yeah. Meagan: And how healing that was. Becky: Yeah, I think it is really important just as an idea for someone to have if it works for you because it definitely was very helpful for me. Meagan: Yeah. I love that. Well, I can’t wait to hear your story and more of the things that help. I think sometimes too when we have unplanned C-sections, or even if we are preparing for VBAC but go in for a C-section, it’s always nice to have some of those tips to say, “Okay, I can try this to see if it helps me stay calm or brings me peace.” Review of the WeekAwesome, well we have a Review of the Week as always and then we will get into Becky’s story. This is from postpartummama on Apple Podcasts and it says, “A surprisingly and valuable postpartum resource.” I love that because we are not a postpartum podcast, right? But there is a lot. We were just talking about it two seconds ago about things we can do during our birth to help it be a better experience. When it’s a better experience, it helps with our postpartum experience. She says, “Once again, I found myself listening to episode after episode of this podcast. It is truly an invaluable resource for anyone preparing for birth or healing from a traumatic birth. Julie and Meagan approach topics that are often hard to discuss and they do so without judgment creating a community of acceptance during a season of life that can often feel alienating and overwhelming.” That just gave me the chills. She is not wrong. This journey can sometimes feel so lonely. I know I felt lonely during my experience prepping for my VBAC. It says, “I listened to this podcast while preparing for my VBAC and although my VBAC was successful, it was also traumatic. Now six months postpartum, I’m listening to each and every episode again and in doing so, I’m processing my second traumatic birth experience at my speed. It’s helping me mentally and emotionally heal from everything that happened and lessening my fear of childbirth. Thank you, Julie and Meagan, for–” Oh, I just lost it. Hold on. I moved it. “Thank you, Julie and Meagan, for dedicating your time to educating women in such an approachable way. I can’t recommend your podcast enough.” Wow, postpartummama, this was back in 2021 so a couple of years ago and that just makes me feel so happy. I don’t think we’ve ever had a review that has talked about how it’s truly helped them in the postpartum stage so I love hearing that. I love that she also talked about that she had her VBAC but it wasn’t necessarily all sunshine and butterflies. It had some trauma involved. I think it’s important to talk about that and realize that all C-sections aren’t traumatic and all VBACs aren’t sunshine and butterflies. Julie and I, in the past, have talked about that. We recognize that and I hope, postpartummama, that you have found your recovery and that maybe you are still with us today and listening to your review. But I hope that you have found that peace and recovery through your postpartum journey. As always, if you want to leave us a review, we never reject a review. You can leave it on any podcast platform so thank you so much. Becky’s StoriesMeagan: Okay, Becky. Again, thank you so much for being here with us today. Becky: Thank you. Meagan: Yes. Becky: So I’ll just jump in, I guess. Yeah? Meagan: Just jump in wherever you feel that you want to start. Becky: Okay, so I’ll start with the C-section. I was in New York at the time and I felt very committed to having a vaginal, unmedicated birth. I was with a midwife practice. It was three midwives who had birthing privileges, I guess is the term, at a hospital in midtown. Everything was really normal and healthy with my pregnancy. I got to 41 weeks and they asked if I wanted a membrane sweep. I said, “Yeah. Let’s go for it.” So two days after the membrane sweep, I think I lost my mucus plug or something and then two days after that, we went to a restaurant in the evening. We were walking back to our apartment and I started to feel low cramping which I now know is contractions. At the time I didn’t know. I feel like nobody tells you that it feels like cramps. It does. Meagan: Yeah. And it can. It can start just like little period cramps or maybe you even feel like you have to go to the bathroom like bowel cramps. Becky: Yeah. Uh-huh. The bowel cramps come later. Meagan: Right? Posterior babies. Becky: Exactly. We got back and I was keeping an eye out for the timing. I saw that they were very irregular. I knew enough that it kind of hinted towards a posterior baby but I was like, “Whatever, we’re good.” The midwives said to try to get some sleep. It’s not that it was so uncomfortable at that point I couldn’t sleep, but it’s happening. It’s exciting. So I really didn’t sleep. My husband didn’t really sleep much either. We called the doula. She came around at 5:00 AM or something like that and I started to feel pushy. I knew that that is also a symptom of a posterior baby but also, my mom had quick labors so I was like, “Mmm, I don’t know.” It was also a Monday morning, so we decided, “Let’s drive to the hospital,” because it was in Midtown. When we got there, I was only 3 centimeters. We went to a hotel nearby. We got a hotel room for one night and I labored there. Things started to get intense there. I mostly liked the shower. Actually, my midwife because she came to the hospital but since I wasn’t admitted, she was just kind of waiting for me because she didn’t have other patients at the hospital. She actually came to the hotel room and did a check there. Meagan: Really? Becky: Yeah, to see so that I could skip triage. Meagan: Wow. Becky: I hear that is very unusual. She went above and beyond and I was a 7 at that point or something. Meagan: Oh, wow. Becky: I skipped that when we went to triage originally, the midwife had me lay on my back with my legs hanging down. I have learned that is Walcher’s. Meagan: Walcher’s, yeah. At 3 centimeters, she did that? Becky: Yes. Meagan: Okay. Becky: After that, the contractions stopped. It was easy. I could walk again and everything felt fine. I was like, “This is 3 centimeters with a not-posterior baby versus a posterior baby. It makes quite a big difference.” But she went right back. Anyways, when we went back to the hospital, it was supposed to be intermittent monitoring. I was moving a lot and with the movements I was doing, they couldn’t get a clean, 20-minute read. The nurse was very nice. She kept trying to get it, but it kept getting interrupted so it was really continuous monitoring. At a certain point, I started to feel like, “This is not happening.” I started to feel like I couldn’t do this. They were like, “You’re doing it. You’re doing it.” I was on my back and the midwife said, “Why don’t I try to direct pushing for you?” She said that she could see the hair. The energy in the room was like, “You’re doing it.” I felt like, “I am not.” Then, the energy in the room shifted because the midwife felt the ear. She felt the baby’s ear and she said the baby was asynclitic. From then on, the contractions were so close together. I couldn’t get rest in between. I had done some pushing that seemed to be doing something, but I was getting tired because we hadn’t slept. I also hadn’t eaten because I had thrown up what I tried to eat. Meagan: Oh, yeah. Becky: It was everything. Eventually, it was back-to-back contractions. Somebody suggested, “Would you like to try an epidural?” Although I was wanting an unmedicated birth, I was like, “Yeah. I think I need to rest. I can’t.” I could feel like I wasn’t able to push anymore. Meagan: Well, and if you have an asynclitic baby too, a lot of the time we have to get baby up and reset. Sometimes it can be really hard unmedicated when you are so tired and when time has been going. It’s nice to maybe get an epidural and let your positions and rest to really allow that baby to try and reset. Becky: Yeah. Yeah. So I slept after I got the epidural and then when I woke up– my husband later told me that I was only asleep for an hour but I woke up and it was dark already. We had gotten there in the morning. It was late October, so it wasn’t that late, but it was probably 5:30 or something. So they were like, “Okay, let’s try pushing now.” I was like, “Um, what? What do I push and how and also, why?” I didn’t have any connection. I didn’t understand how I could possibly push. I was like, “Is this it?” It was clear from their faces that no, it wasn’t it. It was not it. I don’t know. We tried other things, but eventually, because of the continuous monitoring, they were getting the heart rate and it was starting to look not as good. It was the situation where it was like, “It’s okay, but the OB/GYN on call might not be okay with this.” We could try Pitocin, but the midwife was like, “I don’t know what Pitocin is going to do for you because your contractions are already really close. It could likely make the heart decelerations worse.” It was like we could continue going as we were going or we could start to talk about C-sections. At that point, I was just like, “Yeah.” We didn’t see any other option. We didn’t see any other solution. Meagan: Baby wasn’t turning. Becky: No, baby wasn’t turning. I mean, yeah. So we got ready for the C-section. They gave me some anti-nausea medication. I was like, “I already feel like I’m going to throw up.” They were like, “It’s okay. This will help,” but they gave me the medication and I immediately threw it up. They gave it intravenously. We went into the operating room and I asked them if I could sing during the surgery. The reason for this was that I had another weird medical situation where my husband actually suggested singing because I was breathing so shallowly and I was so anxious about it. It really slowed down my breathing and just made me feel so much calmer. I guess, I don’t think I had thought about it in advance, but once C-section became a reality, I was like, “I’m going to sing.” Meagan: Do it, yeah. Becky: They were like, “Yes, absolutely.” The energy in the room felt like it was a party. Everybody knew each other. They liked working together and they were like, “Now our patient is singing for us? This is great.” The C-section was really quick. I did not feel that way. I did not feel like it was a party, but I was like, “This is calming myself, so I’m going to keep going.” She came out pretty quickly and she cried quickly, but I guess after the fact, it was not a gentle Cesarean because of all of the things. She was off in the corner for a long time and her APGAR scores were good. She was healthy and I was very thankful that I was singing so she could hear my voice, but it felt like a long, long time before she came onto my chest. Even when she did come onto my chest, the feeling was sort of fear and like, “Um, hi. How are you? Who are you?” Meagan: A bit of a disconnect. Becky: Yes. Part of the reason why I had wanted an unmedicated birth was that I was interested and excited about the hormone cocktail that they talked about. This was certainly not that. But we went into the recovery room and the midwife and the doula were with us. They were like, “Do you want to try breastfeeding?” I was like, “Oh.” I had prepared for the breast crawl. I had prepared for the natural things so I did not know how to do it. I didn’t know how to do it. So I was like, “Okay. Go, baby.” She did not know how to do it. So she did not latch. The midwife helped me, but she didn’t latch and then she was getting sleepy so it was like, “Okay, we’ll try it later.” A nurse or something said, “Oh, we’ve got to take the baby for some regular checks of some kind.” So they took the baby. My doula left. My husband and I were left in this room and there were other people in this recovery room. It started to be again, a long time without my baby who had just exited my body. I was like, “What’s going on?” I really felt like screaming. I felt like screaming like a crazy person, “Where’s my baby? Where’s my baby?” Meagan: Getting anxious, yeah. Becky: What stopped me was that there were other people in the room and I was afraid of scaring them. That also feels not good that I was not free but also good that I wasn’t screaming like a crazy person. I had my husband go find her and she was just chilling out with a nurse. They were just waiting for my room to be ready so it was just sort of a logistical thing that they were like, “Oh, her room’s not ready. They’re going to wheel her in. We’ll just wheel the baby straight to the room with her.” Meagan: Why not just keep her with her? Becky: There was no reason for the separation other than that was the reason. Breastfeeding was very difficult. She did not latch. I did not have good lactation support at the hospital and all of the peo…

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    Episode 261 Dr. Nathan Fox + Scar Thickness, Uterine Rupture, Due Dates & More Nov 15, 2023
    Show notes

    Dr. Nathan Fox is a practicing OB/GYN and Maternal Fetal Medicine provider in New York City. Two of his children were also VBAC babies! He joins Meagan on the podcast today where they discuss topics in depth to help listeners make more informed decisions about their VBACs. Topics today include where to find evidence-based information, how to interpret it, the risks of uterine rupture, VBAC and COVID-19, induction, scar thickness, due dates, and third-trimester ultrasounds. Additional LinksHealthful Woman WebsiteMFM, High-Risk Pregnancy New York City WebsiteNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello. You guys, it’s November. How are we at the end of 2023? It is crazy how fast this year has gone. We have a special guest today. It’s Dr. Nathan S. Fox. He is so amazing to come on today to talk to us about a couple of topics that I don’t know if we’ve actually ever talked about on the podcast. We’re going to be talking about scar thickness. We’re going to talk about third-trimester ultrasounds. We’re going to be talking a little bit about COVID and is it really best to induce at 39 weeks? We’ve had COVID. What does it mean with our placenta? We know we’ve been hearing it out there where our placentas are not doing well. So you guys, get ready. Buckle up. It’s going to be great. I want to tell you a little bit about Nathan Fox first. He is a board-certified OB/GYN and he is also certified in MFM which is Maternal Fetal Medicine. In his clinic, he sees a lot of higher risk and unique situations. He did his residency at Mount Sinai. He has an amazing podcast that really dials in on helping people know the evidence and then also understanding the evidence in English because if you are like me, you’ll know that it is kind of hard to break down some of these studies sometimes and it’s hard to understand what the evidence is even saying and then how to apply it. He has this podcast and it is Healthful Woman. We are going to make sure that it is linked. You guys, he has so many incredible guests on there talking about a wide range of things. It’s not VBAC-specific, but it definitely has a wide range of topics and things that you’re probably going to love. Definitely check that out. We’ll have it in the show notes. Dr. Fox, seriously, we are so grateful for you today. We can’t wait to have you on. We’ll be right back. Dr. Nathan FoxMeagan: All right, I need to pull up those questions really fast. There are a lot. Literally, we do not have to get to all of them. Dr. Fox: I’ll come back if you want. Don’t worry about it. Meagan: Yeah, we’ll have to do a part two. You are so sweet to take the time out of your busy life, I’m sure. Dr. Fox: We are mission-aligned as they say in the fancy world. It’s about getting good education, and good information out to people so they don’t have to hear crazy stuff on the World Wide Web and get terrified. Meagan: Right. That’s why we started this podcast even just to share stories of people who are having VBACs so people can hear and learn through those VBACs and also know it is an option and it is possible. I have a question. You said before we started recording that you have two VBAC babies. Dr. Fox: Yeah. Meagan: How was that journey as an OB and MFM? Was your wife getting information that you were like, “Wait, that’s not true,” or were you like, “Actually, we need to think about this”? How was that journey as someone in the field?Dr. Fox: Full disclosure, I was getting into the field. I have four kids. My first two are twins and they were born when I was a medical student so I knew very little. I guess more than nothing, but closer to nothing than where I am now. They were born by C-section. Both of them were breech. Thank God, both of them did great. All was well. With the next one, my wife was pregnant when I was a second to third-year resident in OB/GYN. For most of her pregnancy, I was a second-year, then she was born a month after I became– not even. She was born July 17th so 16 days after starting my third year. Meagan: Right after, yeah. Dr. Fox: I knew a little bit more then. That was our first VBAC. Then my fourth was born when I was an MFM fellow. I like to say that I had kids in all of my points in training. Honestly, we didn’t think much about VBAC in terms of being this grand decision and conversation. I would say mostly because the OB my wife was seeing was on board with it and didn’t make it into a big deal and she was delivering at a hospital at Mount Sinai where I trained and where I now practice where VBAC is commonly done. There was a conversation about it. It wasn’t like we were blind to it, but it was part of the normal culture in that hospital on the labor floor so we didn’t think much about it. My wife said, “Why would I want a repeat C-section if I can try and do it vaginally?” It worked out fine, thank God for both of them. The third was also actually a forceps. We’re like a textbook of obstetrics, my wife. But yeah. It wasn’t dramatic. Let’s put it that way, the VBAC process.Meagan: Wow. Yeah. I love hearing about it that it was just a thing. It didn’t have to be a big deal. She was just going in and wanted to have a baby. She didn’t want to have a C-section.Dr. Fox: Yeah, again, I think it is something that should be discussed. People should understand and not even everyone understands that it is a thing meaning people don’t even realize why you wouldn’t. Meagan: Why you would not, yeah. Dr. Fox: There is risk, but ultimately, if it is an option, the risk of a VBAC– again, in the right person– is not markedly higher than the risk of a C-section. So it’s a conversation. Which risk would you prefer or which risk would you least prefer? So that conversation was very straightforward. “Would you want a repeat C-section? Would you want a VBAC?” She was like, “I want a VBAC.” Fine, so that was done. It wasn’t like she had to meet with an attorney to go over everything and sign a waiver or anything like that which sometimes happens. Meagan: Yeah. I love hearing that. Well, I am so excited that you are here with us today. I know that we have so many questions to dive into. They’re kind of all over the place. With the first one, I think a lot of our community members– we have a Facebook community, a forum, and one of the most common posts in there is looking for a provider that is supportive because they were with a provider and then they found out that the provider that was seemingly supportive is not supportive anymore. It all seems to focus around things with evidence-based information and they’re getting all of the different things. One of the questions is why is it so hard to find evidence-based information on VBAC, VBAMC, and uterine rupture– because we have some providers that are saying you have a 60% chance of uterine rupture and then some saying you have a 0.4-1% chance. Those are very dramatic numbers. The range of answers is just so wide. I’m just wondering why do you think it’s so hard and where can we find this information. Where would you suggest our listeners go? Let’s talk about your podcast being one of those places. It’s not just VBAC-specific. Your podcast isn’t VBAC-specific but it’s very, very good at a whole, wide range. But yeah, can we talk about where to find evidence-based information about birth in general but especially about VBAC?Dr. Fox: I mean, yeah. That’s really the million-dollar question. I think that both the problem and solution are essentially that we have access to all of the information that’s ever been available ever. There was a great Simpson’s thing where Homer Simpson said, “Beer. The cause of and the solution to all of my problems.” Information is the same way. On the one hand, it is unbelievable how much information we have access to and that’s a great thing. It’s not hidden. It’s not only amongst the elite that have the information. Everyone can have the same information so that’s the good part. The bad part is it’s very difficult to sift through all of that information and find a) what’s correct or b) what’s applicable to me. So for example, let’s say I’m someone who has a prior C-section and I have a friend who is also someone who has a prior C-section, but one of us has a prior low transverse C-section and one of us has a prior classical C-section. How do we know that we have different percent risks? It’s a high level in a certain sense. So sometimes the websites or the podcasts or whatever will spell it out for you and explain it very clearly, but other times, you just get a list like, “Okay, the risk is this, this, this, and this.” You can’t really apply it appropriately. One of the things we try to do in our podcasts is to be much more user-friendly and to really explain it and what would apply to you, what wouldn’t in certain situations, and what questions to ask, but I would say for people trying to find information, usually it’s a shotgun approach. You Google something and find a website then find a list. You have to be very cautious and make sure that this applies to me and my unique circumstances. Hopefully, you have a doctor or a midwife who can help you with that. You might not. It’s possible that you may not. The other part is sometimes, it’s hard to interpret data. Understanding medical literature is a science. It’s something that we train to do. We practice it. I do a weekly journal club with the OB/GYN residents. This is the top of the food chain. These are the smartest of the smart. They got into a great undergraduate. They got into medical school. They got into residency. These are really, really smart people. It’s not always intuitive when you read a study or several studies on how to interpret it and apply what is and isn’t applicable. It’s very difficult stuff. I would say don’t be dismayed if you are not understanding the information out there or seeing such variation because you are in the same boat as all of us. It’s hard. It’s hard to get the right information out there. Meagan: It is. Yeah. Even when I’m reading through studies or things, it’s even hard for me to just understand what it’s saying and what the relevance is of it and all of it, so yeah. It’s really hard. I think what you said, “Don’t be dismayed,” it can be really frustrating when we’re out there and we’re like, “Okay, I have a special scar or not a normal low, transverse incision. What does this mean for me? What does this mean for my future? What does this mean for right now?” It’s really hard.I think you nailed it where one friend can have this and one friend can have this. You can both have similarities in your risks, but they also don’t apply because there are other things going on in addition. Dr. Fox: There are facts like what is the truth? What is the true fact? There are always some brackets around those numbers because different studies will find different things. Let’s say one study finds 1% and one study finds 4%. Is it 1? Is it 4? Is it the average of the two? Is it a range from 1-4? There are some nuances in that. But then there is also trying to sift through the interpretation of the fact. A lot of that is why sometimes you’ll see different doctors feel differently about something. For example, let’s say the risk of uterine rupture is– let’s just do very rounded, broad numbers. Don’t hold me to it. Let’s say the risk of uterine rupture is 1% and if you’ve had two C-sections, let’s say it’s 2%. Let’s say those are the true numbers and you can argue about those. Those are the numbers. I could describe those very differently. I could say to somebody, “All right, you’ve had one C-section. Your risk of rupture is 1%. You’ve had two. It’s a little bit higher. You need to know that it’s now 2%. Maybe your chance of a successful VBAC is a little bit lower.” Okay. I could say it that way or I could say, “Whoa, your risk of uterine rupture where the baby could die is doubled.” Right? Meagan: Yeah. That just gave me the chills. Dr. Fox: That’s the same number. I’ve said the same thing in two very different ways. One person hears it and says, “It doesn’t sound like a big deal. My doctor said it’s fine.” Another person said, “My doctor said that my baby is going to die.” Meagan: Doubled and die, yeah. Dr. Fox: It’s understandable because the doctors and midwives, people who are pregnant are all humans. Humans are complicated beings. We have emotions. We have fears. We have experiences. We have anxieties. We have all of these things that come into our heads and it colors how we view risk and how we describe it to other people. So I would say that another lesson is when you are getting information, try to differentiate the numbers and the hard facts from the interpretation of the number or the feeling about the number. That’s why you always have to be very cautious when someone says increased, higher, or doubled. That’s a relative risk, right? The risk of something is increased. Well, by how much? Is it increased a lot or a little? If the number was very, very low, is it still very, very low but a little bit higher?I always give people an example. If I walk across the street, there’s a certain chance that someone moving a piano is going to fall on my head. If I look up every time I cross the street, I’m going to lower that risk but it doesn’t matter. The risk is so low to begin with that it doesn’t have any practical application to me. It’s sort of the same thing. You can talk about something increasing or decreasing your risk, but if the risk is still very, very low anyway, it may not matter to the person practically. Trying to get that from a provider is sometimes difficult because they may not know themselves the actual numbers. They may just know increased or doubled or this. They may be so colored by it that they have a hard time talking about it just as numbers or vice versa. They might just give you hard numbers and you want to know how they feel about it and they’re not giving it to you. It is hard, but that’s one thing to try to think about or differentiate. Meagan: I love that. I love that. Okay, this can be a very political topic. Dr. Fox: Oh, all right. You’re not going to mention Trump. Are we going to talk about Trump?Meagan: We are not talking about Trump. Dr. Fox: Everyone in New York talks about Trump. We like him. We hate him. We hate him. We like him. It’s all we talk about. Meagan: I bet. I bet in New York, it’s really hot. Maybe in New York, this is even a hot topic but we’re going to talk a little bit about COVID-19. Dr. Fox: Oh okay. Meagan: We have a lot of moms who had babies during COVID-19. It was a really hard time for everyone involved. Giving birth as a provider, as a nurse, and everybody in life. This whole world of ours. Dr. Fox: It was unpleasant. Meagan: It was and that’s putting it nicely, I think, in a lot of ways. Dr. Fox: I still have scars on my face from wearing my N-95 for six straight months. Meagan: I bet. I bet. It is. It was a very traumatic time. Dr. Fox: Yeah. Meagan: We’re interested to see if you felt like COVID-19 had an impact on the C-section rate and if you saw more inductions happening and things like that. But right now, we have a lot of our moms being told even today, that if they had COVID-19 during their pregnancy from the time of conception to the end, they have to give birth by 39 weeks. Dr. Fox: By 39 weeks or after? Meagan: By 39 weeks. What they’re being told is that their placentas will just crap out. They’re just done. So it can be really hard in the VBAC community when they’re being told this and then we may have a provider who doesn’t want to induce. Dr. Fox: Yeah, yeah. For sure. Meagan: We have providers all over the world who are not comfortable inducing. We have VBAC moms who are like, “I want to have a VBAC. I had COVID when I was 20 weeks. I’m fine. All is well, but now I have to have a baby at 39 weeks. Here I am and my body’s not doing it.” Dr. Fox: Yeah. There is…

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    TVL BONUS EPISODE: Postpartum with Crystal Nightingale Nov 09, 2023
    Show notes

    Crystal Nightingale is The Mama Coach. Her mission is “to guide families through every stage of their parenting journey by providing evidence-informed education infused with nonjudgmental support, compassion, and empathy.” Crystal chats with Meagan today about some of the many resources available to women who are in the postpartum stages of motherhood. While we spend a lot of time preparing for our births, we sometimes don’t know how to really prepare for postpartum. Crystal talks about how to recognize postpartum depression, preparing for going back to work, tips on birth control after a baby, and lactation advice. We are so thankful for the work Crystal does to help families thrive with their new babies!Additional LinksCrystal’s Website - The Mama CoachPostpartum Support InternationalThe Lactation NetworkNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello you guys. You are listening to The VBAC Link and I am with my friend today, Crystal. Crystal Nightingale is with The Mama Coach. Right? I’m saying that correctly. She’s amazing. I feel like we connected on social media and I just madly fell in love with her. I feel like I could talk to her for hours postpartum and just the journey of what things look like after we have our babies. It’s a topic that we don’t talk about enough in today’s world and honestly, it’s a topic that isn’t focused on. It’s not only not talked about, but it’s not focused on, in my opinion, enough. We have babies and are told to come back six weeks later but a whole load of things happen in that six-week period. There are things from recovering from birth and sometimes we have different types of birth. Maybe we had an easy birth and that’s super great, but sometimes we have a C-section or a vaginal or an assisted vaginal and we have extra tearing. Maybe we’re having a really hard lactation journey and feeding our babies emotionally. There is so much that is packed into postpartum and we just don’t put enough focus on it, in my opinion, in the medical world. So today’s episode is with Crystal and she’s going to be talking more about postpartum. What does it look like? What to expect? All of the things. We’re diving deep into it. We’re going to be talking about baby blues and postpartum and mood disorders and hormonal dips and lactation and when it’s okay to not be okay and when it’s okay to ask for help. Just all of the things, so stick with us today. It’s going to be a really, really great episode learning more about what to expect in that postpartum experience. Review of the WeekWe have a Review of the Week as usual. Just a reminder if you guys have not had a chance to leave a review, we would love for you to do so. You can do that on Apple Podcasts. You can do that– I actually don’t know if you can do it on Spotify but we are on Spotify. You can do it on Google. Just Google “The VBAC Link”. Find us and leave a review there. Wherever you leave a review, we would just love it and you never know, it might be read next on the podcast. Today’s review is actually from Google and it’s from Elizabeth Garcia. She says, “As a birth doula and mom, I am always referring clients for information to The VBAC Link. For incredible VBAC stories to lift my VBAC clients up and make them know that there are others who have successfully VBAC’d and for advice, information, and statistics, I always turn to The VBAC Link.”Thank you, Elizabeth or Beth, if you go by Beth, for your sweet review. Again, as always, we love your reviews and would appreciate them on any platform that you want to leave them on. Crystal NightingaleMeagan: Okay, cute Crystal. Hi. Welcome to the show. Crystal: Hi Meagan. Thanks for having me. I’m excited to be here. Meagan: Oh my gosh. I’m excited for you to be here. Like I was saying in the intro, you probably know more than I do. We don’t talk about this. There are so many things that I didn’t even know about in postpartum, how our hormones shift and what to look for and I’ve had three kids. Truly, I have not even been informed and I have had three kids so I’m really excited to dive into this with you today. Crystal: Yes, awesome. I know. Like you said, we have all of this attention during the pregnancy and we have all of these appointments and all of this kind of stuff, all of this information and resources, but then when you have your baby, it’s like, “Okay, bye. Take care of yourself and your baby. Make sure you sleep.” Meagan: Yeah. Make sure you sleep. You’re like, “How do I do that again when I have a baby waking up every 2-4 hours?” Crystal: Yeah and then most women don’t have their first postpartum appointment until six weeks and it’s like, oh my gosh. Where is the support for those first six weeks or even beyond? Because postpartum doesn’t last just six weeks. I’ve read somewhere– I can’t state the source because I don’t remember, but it can last up to a year after giving birth. The way I look at it is, okay. You’ve been pregnant for about 9-10 months or so and all of that time, your hormones were increasing and your body was changing. In my opinion, it will take at least that long to fully recover as well. Meagan: Absolutely. It’s kind of interesting that you say that because with my first, my oldest daughter who just turned 12. I’m thinking of when this episode is coming out. She’ll be 12 in a week. Crystal: Oh my gosh. Meagan: I know. It’s so crazy to me. But I was 11 months postpartum with her. I had gone back to work when she was 3 months old. I had been working and things were pretty good, then I had some struggle with my lactation with my supply and was doing things to try and get it back. I just felt a shift in my whole self. I went in at 11 months postop because my husband was like, “I think you should talk to somebody.” I didn’t really know anyone to talk to so I just went to my OB. My OB said, “You have postpartum depression.” I said, “No, I don’t. I am really far out from postpartum now,” because, in my head, almost a year was really far out. He said, “No. You have postpartum depression. This is postpartum depression.” I literally looked at him and my jaw opened and I said, “I think you’re crazy.” He said, “Nope. This is postpartum depression.” We talked about it and I was like, “What?” So I called my husband and I said, “Hon, even though I am almost a year, he said I could still have this. I have this. These are the things we talked about on how to work through it.” I just could not in my mind believe him. I really could not believe that I had postpartum depression. I think one, I didn’t want to admit it. We have a negative stigma around the word “depression”.Crystal: There’s a stigma, yeah. Meagan: With just depression, it’s like, “No, no. I’m not depressed. Don’t say that. Don’t put that diagnosis on me.” Truly, I was scared of that and didn’t want to admit it, but then I was like, “No. I am not a few months after birth. I am almost a year out.” So it’s interesting that you just said that because I was actually told that at 11 months postpartum. Crystal: Yeah. It’s crazy. Like I said, with all of the hormones running rampant during pregnancy, then it’s the same afterward. There’s a hormonal shift right after delivery, during breastfeeding, and if you stop breastfeeding, there’s a hormonal shift as well. Then going back to work has all of these different emotions. It’s just an emotional rollercoaster. Meagan: It really is. I think that is what was happening. I was shifting a little bit within my milk and then I was maybe deciding on not working, then there was a lot of pressure on where my daughter was. There was so much going on. I had those hormonal shifts, but I didn’t realize they were happening. I didn’t recognize them. So yeah. Let’s just dive into that. Postpartum– things to expect as a postpartum mom both physically and emotionally. What are things that we could just automatically expect to happen? Crystal: All the emotions. Meagan: All the emotions. Crystal: There is a big drop of estrogen after you deliver and that increases prolactin hormones which help with milk supply and then there is just the initial recovery. So if you delivered vaginally, you may or may not have had any tears and there are different degrees of tears. I know you are more familiar with that kind of stuff and how to prevent it with perineal massage and things like that. It’s funny because some people think, “Oh, I’m going to have a big baby,” or whatever they tell you that your baby is going to be big or small, but there is a misconception that if your baby is big, then you’re going to tear. You’re just going to tear, but some women don’t tear and they have 10 pounds but other women tear and they have a 6-pound baby. Meagan: Yep. Crystal: It can happen to anyone. It doesn’t matter how big or small your baby is. That’s the immediate recovery from any tears. Of course, you want to to sitz baths. They have the dermaplast spray to help with pain and things like that. Bleeding, if you had a C-section, you will still bleed. Maybe not as long as a vaginal delivery, but bleeding can last anywhere from a few weeks up to 8 weeks so that’s totally normal. Some women are like, “Oh my gosh. Why am I bleeding still?” It’s totally normal for all of that. Meagan: Yeah. The wound of our placenta, we have that on our uterus so we can bleed. We can bleed shorter sometimes or longer sometimes. Crystal: Right. Yeah, and it is a wound which is why it’s not recommended to have any sexual intercourse until at least six weeks. Even when your doctor “clears you”, you still may not be ready. You’re exhausted. You feel touched out, so it’s totally okay to be open with your partner on how you’re feeling in regards to that, but you definitely want to wait at least six weeks for sexual intercourse. And then of course, have a plan for birth control because you are most likely more fertile right after you’ve given birth. Speaking of breastfeeding, there is a family planning method called Lactational Amenorrhea Method and there are three criteria to this. You should be less than six months postpartum. You should be exclusively breastfeeding and not have started your period. With those three combined, you can usually use exclusive breastfeeding as a type of birth control. It’s just crazy. You do have to be exclusively breastfeeding though. That’s the really big key thing. If you’re giving bottles here and there, I believe the CDC I think it was said, “If you’re exclusively breastfeeding and not going more than four hours in between feedings, it’s a good family planning method.”Meagan: I’ve never even heard of this. When I saw it on the list, I was like, “What is that?” I had no idea. Crystal: Yeah. Yeah, it’s crazy. It’s just because while you’re breastfeeding, a particular hormone is lower than usual. It suppresses ovulation and that’s why a lot of women who are exclusively breastfeeding don’t even have their periods until months down the line. Meagan: Yeah, we had a question like that on one of the Thursday questions. When is it normal for people to have their period return? I’m like, “It really just depends. It totally depends.” Crystal: Yeah. Yeah. It could be a couple of months after birth, or like I said, if you are exclusively breastfeeding, it could take a little bit longer. Meagan: Yeah, so talking about hormones and all of this, I have been blown away to see recently that we have providers– if you’re in Utah anyway, this is happening– that literally right after birth, they are saying, “Hey, we can put your Mirena IUD in right now.”Crystal: Oh my gosh. Meagan: What?! My mind was blown. I was like, “Hold on.” They left and I was like, “Let’s talk about this. Let’s talk about placing a Mirena IUD the second you have your baby.” Crystal: I know. Meagan: What? No. I mean, for me, I was passionate about it because my IUD was actually placed too early with my second. My cervix hadn’t completely “hardened”. It hadn’t recovered completely and so it was too soft. It ended up floating up and protruding through my uterus going towards my lung. Crystal: Oh my gosh. Meagan: I was specifically told, “It’s because you got it too early.” I’m like, okay. So that was one thing. But hormonally, why are we giving birth control hours and days after we have a baby? So that is something that is happening. Have you ever seen that?Crystal: That is so crazy to me too, yeah. I have. I have. Meagan: Like what? Crystal: Yeah. Literally right after the placenta is expelled–Meagan: “Well, let’s place your IUD right now.” Crystal: Yeah, we’ll just place it. I’m like, first of all, that’s a big wound. Why are you putting something in there? It needs to recover and two, like you said, the hormone stuff. I mean, yes. Mirena or progestin-only birth control is the recommended birth control to use if you are breastfeeding, but still, this is a very vulnerable time. Meagan: Very. Crystal: I say, if you can, wait until you establish your milk supply so that way you have an abundant, well-established supply because you may experience a dip in your milk supply with any type of birth control. It will be easier to bounce back if your milk supply is established. Make sure you are knowledgeable and know what to do and you are informed and educated on it, but yes. I have seen that many, many, many times. I cringe when I see it. I’m like, “Oh my gosh.” But you know, what can you do? The OB offers it. Moms feel like, “Oh yeah. Let’s just do it. Might as well,” but they are not given all of the facts and are not informed. It’s so crazy.Meagan: I know. I just couldn’t believe it. I could not believe it when I saw that. Also too, we want to know who we are and where we are. We’re already dealing with so many hormonal shifts emotionally and then getting breastfeeding established and things like that. Why are we adding? I don’t know. It wasn’t my thing, but I was just shocked to see that. I was shocked to see that that was happening. Like you said, it can impact the milk supply. By the way, listeners, Crystal is also with The Lactation Network, our sponsor, which is super exciting to find out about. She is really skilled in lactation and things like that. Is that something that can impact our milk before we even establish our milk?Crystal: Yeah, it can. I can’t say always, right? But yes. I’ve definitely seen it impacted. It can take a little bit longer for milk supply to be established if you’ve got the Mirena or started the birth control early on. Like I said, the recommended hormonal birth control is something with progestin-only or progesterone only and no estrogen. But I have seen some women’s milk supply impacted by the recommended one. I always say, of course, birth control, yes, is there and it’s good but if you do plan to breastfeed, at least know that it may be impacted. Be educated on how you can, I guess, counteract that dip. Frequent and effective removal of milk, staying hydrated, having good nutrition, and eating lots of leafy greens and protein and iron are going to help with that. Meagan: I agree. If we can’t get it in through food and nutrients, it’s okay to supplement and get vitamins and things like that. We highly suggest Needed but getting the nutrients your body needs and understanding that you’re going through a lot so if you can’t eat that, supplement with that so your body can still have those nutrients. Crystal: Yeah, for sure. I mean, we are recovering ourselves as well as trying to take care of a new baby and maybe even breastfeeding that baby if you’re planning to breastfeed so for sure. You lose some blood during delivery whether it’s vaginal or C-section and you know, maybe there’s even a complication where you hemorrhaged so now you’ve lost a lot of blood and you need some iron supplements. So a prenatal vitamin for sure especially if you’re breastfeeding and then like you said, if you’re unable to eat– most of us, at least I can speak for…

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    Episode 260 Jessica's Precipitous HBAC After Vasa Previa Nov 08, 2023
    Show notes

    The chances of having vasa previa in a spontaneous pregnancy is about 1 in 2500. Our friend, Jessica, shares her experience with vasa previa during her first pregnancy which led to a scheduled Cesarean. While Jessica’s Cesarean experience was difficult and traumatic, she knows it is what her intuition was telling her to do. Meagan gives important advice about listening to that intuition with every pregnancy.When the anatomy scan results showed that Jessica’s second pregnancy was completely normal, she went all in to achieve the HBAC she deeply desired. Jessica didn’t expect her birth to be so painfully intense and wildly fast as it was, but now she says that she “would love to do it again!” Additional LinksThe Lactation NetworkHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello you guys. This is Meagan and today I am recording in a very different spot. Normally, I am in my office at my home, but today, I am recording from my car. We have our friend, Jessica, and she is from California. She is going to be sharing her HBAC story with you guys today. If you don’t know what HBAC is, if you’re new to all of the terms, it’s a home birth after a Cesarean. She has a unique situation with her first C-section so I am excited to talk a little bit about that and have her share more information and then with her home birth, it was precipitous. Jessica, was it a planned home birth? Remind me, or was it so precipitous that it ended up being a home birth? Jessica: It was definitely planned. Meagan: Definitely planned. Review of the Week Meagan: She will be sharing that story but of course, we have a Review of the Week. This review is by Ashley and it’s actually on our doula course. So birth workers, if you’re listening, if you didn’t know, we have a birth worker course to become certified in VBAC. It says, “TOLAC/VBAC should be treated just like any other birthing person, but there is a certain preparation and information that needs to be offered to them. Your course covered that. The value is held in your careful recognition of how best to support our client who is doing a TOLAC. I cannot praise you two enough for the fear-release activity. Honestly, it is something I can apply to even myself before and after birth and even in life in general. Thank you for that. It has already helped me with three of my VBAC clients.” That is so awesome. That is one of the biggest things we do in our course. We do a fear release. If you didn’t know, listeners, a fear release is so impactful really processing your past births and working through any trauma. Even if you don’t recognize it as trauma, it may resonate as trauma so working through those fear-release activities is super amazing. Jessica’s Stories Meagan: Cute Jessica, thanks for joining me from my car today. I kind of had a crazy day where my husband got thrown into coaching another team and we had soccer tryouts. As we are recording right now, it’s actually May so we are in the thick of soccer tryouts and all of the chaos of the last week of school. I ended up being at the soccer field so that’s why I am coming from my car. So yeah, Jessica, I’d love to turn the time over to you to share your beautiful story. Jessica: Yes. Thank you. Thank you so much for having me. I’m very excited. I’ll just get to it. Basically, I got pregnant with my first son and he was due in July of 2020, well actually, the beginning of August. He was a COVID baby. My husband didn’t get to go to any appointments with me. But that was supposed to be at a birth center. I watched The Business of Being Born. I got down that rabbit hole. We decided we wanted to be at a birth center. Everything was fine, then I had my anatomy scan and they found vasa previa. I had never heard of it. I never really even considered something being– you know, you worry about something being wrong with your baby. You never think about you having something wrong. So we were very shocked and all I remember was the sonographer saying, “It’s detrimental to your baby.” That was very devastating because I had no idea what that meant. I had to wait to get a referral to see a specialist. It was, I think, 4-6 weeks away. In that timeframe, I had to basically just sit and wait and not know what was going to happen. I joined a Facebook group, did research in the meantime, and I realized, “Holy crap. This is a big deal.” I went to the specialist and they said, “Yeah. You have vasa previa but it could still move.” I left with no answers. It didn’t feel any better hearing that. So basically vasa previa is you know, you have your placenta and your umbilical cord. It was explained to me that typically with a placenta and an umbilical cord, the umbilical cord is like a tree trunk. But when you have vasa previa, it’s like tree roots. So basically it’s an unprotected umbilical cord and vessels that could potentially be ruptured with a vaginal birth. Meagan: Yeah. They’re very exposed. Jessica: Yes. Very exposed. I did also learn that I had a velamentous cord insertion which goes hand-in-hand I think. So yeah. Basically, the moral of the story was that it was a big deal on how I was going to birth this baby even more so because his life was at risk. I eventually saw three doctors at the same practice just for follow-ups. They eventually cleared me for vaginal birth. You think that you would be super excited about that, but everything that I was reading was saying that it has to move a big amount for it to be safe. The vessels could still rupture and all of that stuff. So then I got two second opinions at different practices. They also cleared me. I don’t know. Everything that I was reading, I was reading different stories on this Facebook group. I just felt in my gut that I needed to still have a C-section. That is not what I wanted. I still stayed with the specialist because I was still considered a high-risk pregnancy. She said that I could deliver vaginally, but I told her, “I feel like I would feel safer doing a C-section.” She said, “Okay, but we are going to wait until 39 weeks.” With vasa previa, you deliver much earlier than that just because they don’t want your body to go into labor at all. Basically, that whole pregnancy was full of anxiety and fear. I was worried every single time I went to the bathroom. I was worried there was going to be all of this blood. I felt invalidated and like I was silly for still wanting a C-section by this doctor. Yeah. It was really hard and then my husband couldn’t even be at the appointments to hear what was being said. So yeah, it was really hard. Meagan: Yeah. That is a really hard thing to hear. Especially when you are not even planning on giving birth in a hospital. It’s like, “So wait, wait, wait. I have to completely shift all gears.” But what I love was that your intuition was like, “I need a C-section. This is what I feel is best for me and my baby.” You followed that. That is so important. One of the messages here at The VBAC Link is that we strive to say that we don’t shame anyone for having a C-section. We know that they are happening a lot, but especially when your gut is saying, “This is what I should do,” we have to follow that. Women of Strength, we have to follow that. Jessica: Yep. Yep. So ultimately, yeah. I followed my gut and I’m really glad that I did. The nurse who was by my side in the C-section said that she had never seen a placenta like mine. The doctor, of course, said that it looked normal, but every person that I’ve shown, and some of them are birth workers, are just like, “Wow, yeah. I’ve never seen a placenta like that.” I had a ton of exposed, very fragile-looking vessels. I don’t know where they were in my belly, but still, they were very fragile-looking. I feel like I made the right decision. My doctor said that it was normal, but I don’t think that it was. Meagan: Was your baby IUGR at all with the velamentous cord on top of it? Jessica: No. Meagan: Okay, sounds good. Let me just– there are lots of abbreviations in this episode. IUGR is intrauterine growth restriction and that can be a baby that is being restricted of growth. Sometimes with a velamentous cord, a baby can be on the smaller side or have growth restrictions so it’s awesome that your baby didn’t. Jessica: Yeah, he was 7 pounds, 3 ounces at 39 weeks. Yeah. I mean, it was a fine C-section. Nothing eventful happened, but it was still traumatic being strapped. I wasn’t even strapped down. My arms weren’t, but still, the experience was. I didn’t get to hold my baby for an hour and when I did, I was super shaky. I was nervous to hold him.I looked up at the monitors and I feel like my blood pressure was super low at one point. I thought I was dying. It did not feel great. It was traumatic for us. I know that trauma looks different for everybody, so for us, the whole experience was traumatic. My doctor did say, “You know, I’m giving you this incision so that if you do have another baby, you can have a VBAC.” It was always in my head that when we did have another baby, it would be a VBAC. Jessica: So yeah. Fast forward to April 2022, my husband and I were trying and I got pregnant. It was kind of a surprise but kind of not. I toyed with the idea of possibly giving birth in a hospital, but it was for a very short while like maybe five minutes, then I was like, “No. I think I need to do a home birth this time.” Just because of our experience at the hospital, I don’t know. I didn’t want to have to fight to have a vaginal birth. I didn’t want to be held to the hospital policies and whatnot. I follow a lot of birthworkers and see physiological birth and whatnot so we just decided to have a home birth. We found our midwife and she was a midwife. She’s been a midwife for 46 years so had lots of experience. She’s had lots of VBAC babies and it was just really exciting. It felt right to book her as our midwife. I had her, I think, from 9 weeks on and nothing exciting happened in my pregnancy. I was nervous about the anatomy scan, but they did a very thorough check and I could have cried hearing the news. I was just very confident knowing that the placenta was good, the umbilical cord looked good, and all of that. We went on to have an uneventful pregnancy. I would say from 37 weeks on, I would have cramping and whatnot. I always had Braxton Hicks from 15 weeks on, but around 37 weeks, it changed to that more period-like cramping. I tried not to read into it. I was just like, “This is my body preparing.” There were a couple of times where I was like, “Oh my gosh. Is this happening?” I was listening to lots of podcasts and birth stories and stuff to just kind of prepare myself for every scenario. I think I went to my midwife at an appointment the day before I turned 40 weeks. I was toying with the idea of getting checked or not because I didn’t want to be disappointed or get my hopes up. Ultimately, we– I keep saying we. My husband was a big part of this. I decided to get checked and I think I was a 2 and 70% effaced or something. I was in the right direction but I also knew, “Okay, that doesn’t really mean anything. It could be a week.” But they did want to schedule me for a membrane sweep the following week just in case because you can’t give birth at home past 42 weeks. I really did not want to do that, but I also really wanted to have the baby at home. I was just really anxious. Now I felt like I was on a timeline. My due date came and went. I was disappointed. I knew that it’s totally normal for your baby to not come at or before 40 weeks, but you have that hope that maybe they will. Your body is starting to have all of these symptoms so you’re hoping that this is it. My midwife had said, “Make plans because babies like to come when you have plans. They don’t like it when you’re waiting around for them.” Meagan: I love that. Jessica: Yeah. I tried to get out of the house and then one day, I was like, “Okay, do you know what? We have to go do something.” I planned for me and my toddler to go to the aquarium. We had to buy tickets. The day after my due date, I lost some of my mucus plug so I was very excited about that. Two days after my due date, I listened to Bridget Teyler. She has an induction meditation on YouTube. I just did it because when my husband was putting my toddler to bed, that was my time to get in the zone, drink my red raspberry tea, and prepare for birth. I just did it because it was something to do. I didn’t expect it to work. I thought, “You know, if nothing else, I’m bonding with my baby.” It was really great. The next day, I woke up and I was pregnant still. My mucus plug still kept coming out. It was pink and I was like, “Oh, is this my bloody show?” but my midwives were like, “No, that’s still your mucus plug.” I was kind of disappointed about that. I talked to my husband about all of the anxiety and how people were wondering where the baby was and all of that stuff. We had a steak dinner that night. That was the meal that I envisioned that I would have before I went into labor. That was 40 weeks and 3 days. The next day, at 40 weeks and 4 days, I woke up still pregnant with no signs. I was emotional about it but that was the day I was supposed to take my son to the aquarium. We get ready and we’re driving. On the way there, I’m starting to get cramps every four to every 30 minutes. They were 30 seconds long. I was like, “Oh my gosh. What the heck?” We get to the aquarium and my son wants me to hold him. Meanwhile, I’m having these contractions. I’m just like, “Oh my gosh. I wasn’t timing them because obviously, I had my hands full.” We ate at the aquarium and I remember feeling dizzy and nauseous at one point. But then we went home and my toddler fell asleep in the car which is pretty rare. That means it’s going to be a short nap, so I was like, “Oh if he takes a short nap, he’s going to go to bed earlier. Maybe this is meant to be. Maybe if I go into labor tonight, this is meant to be.” I had always envisioned that I would give birth at home while my toddler was sleeping just because he’s a very sensitive little guy. I figured that my being in labor would scare him. So I was just like, “Oh my gosh. He’s going to go to bed earlier than normal.” I got home and my husband got home from work. I was like, “I’m going to go rest and lay down to try and take a nap in case.” I couldn’t sleep, but I did lay in bed for an hour and a half. I went downstairs. I tried to make dinner and I kept having to stop and lean on the counter. My husband was like, “Do I need to turn the lights down? You’re going inward.” I’m like, “No, I’m not.” I was in total denial. He eventually took over because I was just like, “Yeah, I’m trying to cut raw chicken here and I’m not feeling too hot.” They still were pretty inconsistent. I still hadn’t really been timing them. They were probably every 4-20 minutes for 30 seconds. So then we ate. I think I ate on my birth ball and then I texted my doula who was also a student-midwife with my midwife. I saw her at every appointment which was pretty convenient. She was just like, “You know, don’t really worry about timing them. Just try and rest. Eat some snacks and let me know when they pick up in intensity.” It was 6:00 PM and I was just waiting for bedtime because I knew that once my toddler went to bed, I could really focus and not have to hide that I was in labor. But I still don’t think I realized how far along I was. So we did the bedtime routine. I do want to note that I was leaning over on a pillow and my toddler was rubbing my back and saying, “Baby brother, I help you.” It was the sweetest thing. Meagan: Aw, that’s adorable. Jessica: Yeah. So finally put him in bed and I told my husband, “Maybe you should just go to sleep with him just in case. Well, I don’t know. I’ll text you.” I didn’t know if he should go to bed or if he should come downstairs and act as my doula. So he was putting my toddler to sleep. I t…

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    Episode 259 LIVE: Meg and Julie Answer Your Questions in The VBAC Link Community Nov 01, 2023
    Show notes

    Meagan and Julie went Live in The VBAC Link Community Facebook Group answering your questions. They recorded the conversation to share with you on the podcast today. Topics include: Risks of VBAC, Repeat Cesarean, and CBACCook versus Foley CathetersCervical lipsMembrane sweepsVBA2C and VBAMCCPDThank you for sending in your questions! An educated birth is an empowered one. You’ve got this, Women of Strength!Additional LinksThe VBAC Link Blog: VBAC vs Repeat CesareanCook versus Foley Catheter StudyEBB 151: Updated Evidence on the Pros and Cons of Membrane SweepingACOG Article: VBACThe VBAC Link Blog: VBA2CNeeded WebsiteFull Transcript under Episode Details Meagan: Hey, hey everybody! Guess what? It’s November which is one of my favorite months because it is my birthday month. I have forever and ever loved birthday months so this is going to be a great month because it is my birthday month. Today we are kicking it off with questions and answers with myself and Julie. Hey, Julie. Julie: Hey, I’m so excited to be here. Meagan: Welcome back. We’re going to get right into this review and get some of these great questions answered. We know you guys have so many questions. This review is from bunnyfolife777. It says, “So much hope.” It says, “I’m 16 weeks pregnant and shooting for my VBAC. I’ve been in The VBAC Link group on Facebook for over a year, but I’ve only just started listening to the podcast. I don’t know why I waited. I’m bawling now just two episodes in. The statistics and advice you share are golden. I’m going to listen to it again and take notes this time. I’m scared about having to advocate for myself living abroad where most doctors push for C-sections so I’m thankful I can arm myself with the knowledge through The VBAC Link. Thank you.”Oh, that makes me so happy. We’re going to be talking about statistics on this podcast episode today. Julie: You know I love a good statistic. Meagan: I know. You are the statistic junkie. Julie: I’m a nerd. Meagan: Okay, okay Julie. I love having you back on the show. It just feels so natural. Julie: It’s fun. Meagan: It is fun. It’s so fun so thank you for being willing to join me again on these random episodes. As we were saying, we are really just wanting to answer some of these questions. So yeah. What is one of the questions right here that you love that you are like, “Let’s start this off with”?Julie: Okay, so gosh. I mean, there are so many good ones. I feel like we’ve talked about a lot of these things many, many times over the years, but I feel like every time we talk about them, we get a new perspective in. There is new information and new evidence. Not everyone goes and listens to every single one of the episodes although lots of people do, but I think it’s fun to revisit some of these things. I don’t know. There are so many that stuck out to me. VBAC vs Repeat Cesarean vs CBACOne thing that we haven’t really talked about directly in this way is, is it really safer to give birth vaginally? I mean, yes. It is. We can go over that but I really like the second part of that question which is, “What if that labor doesn’t work and goes to a C-section? Is that more dangerous?” I want to talk about that because we talk about VBAC is safer than a repeat Cesarean statistically. We are talking about all of the numbers when we talk about all of the different things that could go wrong between vaginal birth and Cesarean birth then actually, for the second, whether you choose VBAC or repeat Cesarean, the statistics are actually not that much different as far as safety goes. VBAC is slightly safer overall, but there really isn’t a big enough difference to say, “You should absolutely do this.” Right? That’s where your intuition comes in. But if you want more than two kids, the more C-sections you have, the higher the chance you have of having severe complications. By the time you get to your fourth or fifth C-section, you have a 1 in 3 chance of having a major medical intervention during your Cesarean. I feel like so many times we as people educating about birth or talking about birth talk about just those two things. VBAC and repeat Cesarean, but there’s actually a third thing that’s worth talking about. That is a TOLAC– I know it’s kind of a trigger word for some, but it’s just a medical term we’re going to use here– that ends in a repeat Cesarean. Meagan: Yes, because we know that happens. Julie: We know it happens. It does happen. Meagan: It happened with me. Julie: Sometimes it’s medically necessary. Sometimes it’s not, and you just don’t know. We’ve got to put it in the order of three things. First, the safest is VBAC or a vaginal birth. Second is a scheduled C-section and the third is a VBAC attempt or a TOLAC that ends in a repeat Cesarean. We also call that a CBAC or a Cesarean birth after a Cesarean. Now, if you labor and then have to have a C-section for whatever reason, there are more risks with that including postpartum hemorrhage or bleeding, and needing a blood transfusion. Obviously, the risks to baby are pretty similar but it’s just harder to operate on a uterus that is contracting. You’re more likely to bleed because that uterus is contracting. Sometimes, if it’s an emergency situation, the providers have to do things like a special scar or a special type of incision or they have to put you under general anesthesia. That has more risks in and of itself. I feel like that’s a really valid question that she asked. What if? What if? There are always what if’s, but what is safer? Meagan: Right, right. For patients or parents that are going for a TOLAC, a trial of labor after a Cesarean, and then may require or end up going to have that Cesarean, there is also a slightly increased risk of postpartum infection. Julie: Yes. Meagan: And also some possible complications. You just touched on it a little bit, but when a uterus is already contracting– so I’m going to backpedal a little bit. When we go in for an elective Cesarean, typically we are not already in labor. We’re not already having contractions so performing a Cesarean on a contracting uterus can possibly cause some issues there as well. That is sometimes why a lot of providers don’t want an elective Cesarean to even go to 40 weeks or past. They want to have an elective earlier on. That may also help give you some understanding of why providers are saying that. But yeah, it just slightly increases in other ways. Yeah. Anyway, keep going. Julie: No, I love that. I just don’t think we’ve ever– I mean, we do in our course and things like that. We talk about it directly, but that’s something to consider. I think that’s also really important. I feel like it adds the extra layer of where you want to make sure you have a really good provider because if you have a provider who is not really supportive or who is giving you tons of red flags or who is saying that you have to induce because of a big baby– I’m surprised that big baby isn’t in some of these questions, to be honest. We can talk about that a little bit later, but it’s really important. That’s something to consider. It’s all about weighing the risks and what risks are you more comfortable with taking on? Are you more comfortable taking on the risk of going into a vaginal birth attempt– you want to try for a VBAC– and having the possibility of it ending in a repeat Cesarean? The possibility of it ending in a repeat Cesarean varies depending on where you are birthing. If it is a home birth, you have a 10% chance of it ending in a Cesarean. Statistically, nationwide, you have a 30-40% chance of it ending in a repeat Cesarean. But if you have a really good provider, there’s probably only a 10-20% chance of it ending in a repeat Cesarean. Sometimes, if you have a really bad provider, you might be looking at a 50 or 60 or 70% chance of having a repeat Cesarean. So what is an acceptable risk for one person is not for another. If that just sounds too scary for you or are risks that you are not willing to take, then maybe scheduling a repeat Cesarean is the right choice for you and that’s okay. But if you’re a diehard and want to fight the system to prove everybody wrong no matter what the costs are, then maybe you just want to have a VBAC and that’s okay. Not that that’s a bad thing, but it’s also probably not a very healthy way of thinking. I was like that. I’m like, “I’m getting my VBAC and I’m going to do everything I can to safely set up the best chances for me and my baby.” That’s why I ultimately chose an out-of-hospital birth with a really amazing provider who had tons of experience in all types of birth situations. But I don’t know. I think that’s super important and something to consider. We’re not trying to scare anyone here, but we are never going to lie to you. We’re never going to dance around the issues. We’re never going to sugarcoat things. Meagan: Yeah. Yeah. I think that was a good question. Okay, well if it really is safer to have a vaginal birth, what’s the safety here? Yeah. I really loved that question a lot. Julie: I wish I had some statistics off of the top of my head, to be honest. I’m pretty sure we wrote a blog about it. VBAC versus a repeat Cesarean. Meagan: Okay. I’m going to bounce to this next question– Julie: Wait, wait, wait, wait. Wait, wait, wait, wait. I have something. Meagan: Did you find a stat? Julie: No. Well, yes actually. I found the blog. If you guys want to know more about the blogs, I’m not going to get into it because we want to move on to all of these other questions. Our wonderful transcriber, Paige, is going to put a link to the blog in the show notes so make sure you check it out and it goes in super, really big detail about all of those statistics, and pros and cons for all of those things. I say our transcriber, but you know what I mean. I feel like it’s still us. It’s still we, right? I don’t know. I’m never going to not feel like that. Maybe one day. No, probably not. I miss it so much. Meagan: Probably not. No, probably not. Julie: Sorry, let’s go on. Cook vs Foley CatheterMeagan: No, you’re fine. So I want to talk about catheters. Not catheters to drain urine, but the catheters to help with an induction. Someone asked, “What’s the difference?” We’ll even hear in Utah a Cook versus a Foley. A Foley catheter can also be the type that actually goes into your bladder through your urethra and drains urine but there’s also a Foley catheter that can help induce labor. There’s Cook and Foley. One of the questions was, “What is the difference between the two?” Really, the only difference is that a Cook has a double-balloon and the Foley is not a double. There’s just one. If you can– I don’t even know how to give this image. How would you give this image of what a Cook catheter is like? The catheter with two balloons on it? I don’t know, like ice cream? Oh, you’re muted. Julie: I’m sitting over here dancing. Meagan: She’s dancing in this image and I’m like, “She’s saying something.” I’m thinking of a double scoop of ice cream.Julie: I’m thinking it’s kind of like a barbell. Yeah. Or like a barbell, right? If you think of a cartoon barbell with the balls on the end but much shorter. Meagan: Yeah. Both of them are inflated with saline. It’s inserted through the cervix, the balloons are inflated, and then they put pressure mechanically onto the cervix which causes pressure and dilation and effacement and things like that. Yeah. It’s been a really long time since these have been being used. We will see, once in a while, providers say that a catheter, Cook or a Foley, is a contraindication for someone who wants to have a VBAC. That is kind of hard. It’s really interesting. It’s just a balloon that goes in. There’s no medicine that is put in at all. It’s just saline and like I said, it’s a mechanical dilation. So if you are curious about methods of induction that your provider is comfortable with, I would encourage you before you get to the 37th, 38th, 39th, 40th, 41st, and 42nd week of pregnancy to discuss with your provider more about a Cook catheter and what they are comfortable with. It is really hard because sometimes, those catheters can be one of the best ways to help induce a cervix or a TOLAC for someone who is wanting to go for a VBAC because they can’t always just do other ripening aids and this can definitely help with the cervical ripening to help get to that further progress of having a baby. Julie: I love it. I think it’s silly sometimes how providers will not induce with a Foley for VBAC. I just don’t get it because there’s no solid evidence that supports not doing that. I just think– me and you, we’ve seen so many VBACs induced with that. It’s been fine and healthy. There is just not anything out there. I know every provider has their things that they will and won’t do. If you have a provider that won’t do that, then you might want to talk to another provider. Meagan: Now that we kind of know that there are two different types, let’s talk a little bit about the differences. There is a difference in what they do. Why would we even use them? Which one is better? I think that is a big question. Which one is better to use? I’m just going to tell you after some evidence that a Cook catheter for cervical ripening has greater results. What have you seen, Julie? What have you seen in the past?Julie: Honestly, I’m trying to think if I’ve ever seen anybody use the Cook catheter. I think I’ve only seen Foleys to be honest. I’m trying to think back. Maybe there has been one but I just can’t think of any. Meagan: I’ve only seen one. Yep, I’ve only seen one and it was up at the University Hospital here in Utah. They used that. She was barely half of a centimeter dilated and 30% effaced, very little. They used that for softening really, but the Cook catheter, I think, through studies has shown that it is more effective or has greater cervical ripening compared to the Foley. However, in fact, I’m going to hurry and pull this up. I’m just going to read this. It shows, “The duration from the balloon insertion to it exiting and delivery was significantly shorter using a Foley catheter.” Julie: Interesting. Meagan: Yeah. So Cook catheter has a greater result of actually ripening the cervix, but the Foley has a greater success rate overall from start to finish. I mean, I have seen so many people with Foleys. It sounds weird because sometimes, everyone is like, “You’re suggesting Pitocin?” I’m not suggesting it. I’m just saying that I have seen a Foley placed with Pitocin at 4mL, just a little bit, and it is insane sometimes how great the result is. Sometimes when the Foley comes out– maybe you’ve seen this– it’s a mechanical dilation so it kind of relaxes just a little. It’s not like we go backward. It just kind of relaxes like it’s overstretched and it relaxes. Then we have to catch up, right? But I have seen where with there is a tiny, tiny lift of Pitocin being involved–Julie: You don’t have that relaxing as much, yeah. Meagan: Yeah. I don’t see where it’s like, “Oh, you’re a 4,” and then they check and they’re like, “Well, you’re kind of a 3.” Listeners, I just want you to know that that’s a thing too. If a Foley comes out, remember that it’s a mechanical dilation in your cervix. It may be stretchy-stretchy, but you might not be a full 4 or whatever. So talking about top to bottom, Julie you just mentioned that a little bit ago. With me, do you want to talk about that?Julie: Yeah. Well, I mean, the Cook catheter has two balloons essentially that they fill up with saline. The Cook has two balloons. The Foley has one. The idea with the Cook catheter is that it puts pressure on both ends of the cervix. My gosh, I don’t know if we even said how they put it in. You insert a catheter in through the cervix and then the Cook has two balloons on either end that they inflate so it pushes to soften and open the cervix. Then, the Foley only has one balloon that they put. They insert it into the top through the cervix i…

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    Episode 258 Hannah's VBAC + Giving Birth in Different Locations Oct 25, 2023
    Show notes

    Meagan is joined today by our friend, Hannah, who has been through so much during her motherhood journey. Hannah’s experiences include a blissful first birth at a birth center, multiple twin pregnancies, miscarriages, a difficult C-section, infant loss, and a redemptive VBAC. Hannah shares her unexpectedly traumatic experiences with pregnancy, birth, and grief while living in Argentina. Yet even with all that she’s been through, you can feel Hannah’s strength, positivity, and light. Hannah wasn’t sure if she wanted another baby, but learning about the possibility of a VBAC restored hope in her heart. Hannah spent years researching providers and birthing locations in preparation for her move back to the US. When she became pregnant, Hannah was able to feel safe in the providers she chose. Her VBAC birth was everything she hoped it would be and Hannah was able to find so much joy and healing through her experience. Additional LinksThe Lactation NetworkHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, hey you guys! We have another episode for you today and we are sharing stories from our friend, Hannah. Welcome, Hannah. Hannah: Hi. Thanks for having me. Meagan: Thanks for being here. We are always excited to be sharing new stories. Just a little bit about cute Hannah here– we were just chatting right before we pushed record and she’s had three babies. She has had three babies in three different states which is kind of cool. You kind of know how the birth world looks in a few different areas. Would you say they are very similar? Would you say they are vastly different? How would you rate having babies in three different places? Hannah: Right. Well, I would say from my experience that they were very different but more so having a baby out of the country. I’ve had one in South Carolina and then I’ve had one in Argentina, and then one in Texas. They are very different places and have different levels of care. Meagan: Yes. I think if I were to choose to do anything with my free time– I mean there are a lot of things– but one of the things in the birth world that I’d like to do is teleport to all of the different areas, just be a fly on the wall, and witness birth all around the world, truly. I would love to see the differences between them. As a doula, I’ve only seen birth live here in Utah. I think that would be really interesting. Well, like I said, her last baby was born in Texas so if you guys are listening from Texas, listen up because she did have her VBAC in Texas. But yes, she is a wife. They’ve been married for nine years, right? You and David have been married for nine years and they have three beautiful girls. We’re going to talk about their births and then we’re going to talk a little bit about miscarriage too, right? Hannah: Yes. Meagan: Yes. She’s got some angel babies as well. I’m excited to have you share these stories with us today. I would just love to turn the time over to you. Hannah’s StoriesHannah: All right. Well, thank you. I have had, I guess, a different birth story in the sense that I’ve given birth in different places. I’ll start with our first. I’m from a large family. I’m one of eight kids. My mom had four of us at home, so I was very familiar with midwifery and all of those things. I knew that if we had a baby when my husband and I got married, that’s kind of what I wanted to pursue. My husband, of course, was not familiar with that. Meagan: A little more foreign. Hannah: Right. I think he thought it was a little weird, but he was very, very supportive. About two years into our marriage, we found out we were expecting our first. We were living in South Carolina at the time. I started researching midwives. I found one there, Labors of Love, in Spartanburg, South Carolina. She was just a great midwife. My husband went to all of the appointments. We had an initial meeting with her. I remember he had some questions, but I think what really helped us as a couple and my husband to really get on board and just to be that support that I needed is we took a pretty intensive birth class together. It was about an eight-week course. It was about two hours each night. It was with a group of other couples. We learned about labor techniques and the whole pregnancy process, and then she also covered postpartum. That just really helped, of course, me because I’ve never had a baby before, but also my husband to understand more and then to really be supportive because he really was there for me during my birth. In the beginning, he was like, “I don’t know.” It was a little weird to him. My first birth, I’ll just go over pretty quickly. It was a pretty smooth pregnancy. I wasn’t sick. I was very active. Of course, I was a little bit younger. It was just very smooth. I didn’t hardly gain any weight and it just went by very well. But at about 37 weeks, we went in and she was breech. My midwife suggested I try a chiropractor. I had never been to a chiropractor. I remember I went and was so nervous. We had a couple of sessions with her and thank the Lord, the baby flipped. She got in position. Meagan: Yay!Hannah: I was so excited. We were able to have that natural birth with my first daughter. I really wanted a water birth and at the birthing center, they had a tub. I was laboring for quite a while in the water, but then I had a lip. Meagan: A cervical lip?Hannah: A cervical lip, yes. She had checked me and everything seemed like it was going really well. I had been in labor for about six hours and she was like, “You’re a 10. Do you feel pushy or this?” I’m like, “No. I don’t feel anything.” She’s like, “Let’s get you out of the water and see what’s going on.” It was a lip, so we tried different things to try to get that moved. We ended up going outside on the porch and walking. Meagan: Oh yeah. Hannah: My husband still reminds me of this because he’s like, “Whose idea was it to go walk on the porch?” because it was my husband’s idea. I didn’t want to go. I was in the tub. I’m like, “I don’t want to move. I don’t want to walk.” He’s like, “Come on.” He was putting a robe on me and he was like, “Let’s go outside and walk.” Within 10 minutes of walking outside, my water broke and she was crowning. Meagan: Wow. Hannah: She was there. I remember I reached down and I’m like, “I think that’s her head.” My husband called the midwife and she’s like, “Let’s try to get her inside,” because we were still outside at this point. They got me inside to the bed and in the next contraction, I didn’t really feel like I pushed that much. It was like my body just pushed. Meagan: Involuntary. Hannah: Yes. Her head came out, and then in the next push, her body came out. It was very smooth and very quick. She was 6 pounds, 11 ounces, and was perfect. We were so excited. Then the next year, we found out we were expecting again. We were very excited. They were going to be pretty close together, but we were happy. We went and did an early ultrasound because, between these two pregnancies, I had not gotten my period back. I was breastfeeding. So I was kind of like, “I have no idea how far along I am.” I was nervous about that because at the time, we were planning to move to South America, to Argentina. We were packing up and getting ready to move. I’m like, “I don’t know. Should we stay stateside and have the baby at home?”Meagan: That’s stressful. Hannah: Right. So we went in for an ultrasound, but that ended up ending in a miscarriage at around eight weeks. One of the things that we didn’t know– we were working with the same midwife at the time but didn’t do ultrasounds in her office because she was just a midwife– it was a pretty small birthing center so you would go to another office and do ultrasounds. We had done one and they didn’t tell us anything, but when I miscarried, I called my midwife to tell her that I miscarried and she informed me that I was actually pregnant with twins. Meagan: Whoa. Hannah: She said, “I was going to tell you in your appointment, but that’s what the ultrasound tech saw.” So I was like, “Oh my goodness.” She said, “The reason they didn’t tell you is because in one of the babies, they saw a little bit of an irregular heart so maybe you just miscarried the one and you’re going to keep the other baby.” Meagan: Which does happen. It actually does happen where one twin unfortunately will pass, but then the other, if they are not identical and stuff, will continue. Hannah: I had not heard of that, but that’s what my midwife had told me so I was like, “Okay.” We were actually out of state, so we were driving back home. I miscarried out of state. We were driving back home and then I miscarried a few days later the second baby. It was a rollercoaster of loss then thinking maybe– Meagan: Hope. Oh, I’m so sorry. Hannah: Yeah. That was really tough. We hadn’t really told anybody we were expecting. I had told my parents but we really hadn’t told anybody else. Then when we lost the baby, we just didn’t really feel like telling anybody because we had lost a baby. But then as a little bit of time went on, we did end up telling people and I think for me personally, everyone’s different, but for me personally, it helped a little bit in the loss because I felt like my babies were acknowledged. I know some people would maybe rather just keep it private, but for me, it actually helped me a little bit in the grieving process because I felt like they were acknowledged even though I was only eight weeks along. It was a miscarriage. We did end up telling people that we lost the babies. We lost the babies. We said, “All right. Let’s go ahead and move because I’m no longer expecting.” We bought the tickets. We started packing up and then we found out we were expecting again. Yeah. So I miscarried in April and I found out I was expecting in July. We said, “Well, let’s go ahead and go.” I was a little ignorant on my end. I hadn’t done research, but I’m just thinking, “We’re moving to South America. Argentina is a pretty modern country.” We were going to a big city, Córdoba. We were like, “There had to be people there. There have to be midwives or doulas.” I knew they obviously had big hospitals, but I wanted the same experiences so I was like, “I’m sure they have people there.” I just went with the idea that I would find care there very optimistically which is my personality. I’m just like, “We’ll go and figure it out. We’ll get there and we’ll find people there.” We got to Argentina and I’m trying to find a house, trying to buy furniture. We started from zero. We didn’t know anybody in the state that we were moving to. We’re trying to meet new people and all of this stuff. I started asking people that I would meet, “Do you know midwives?” They’re like, “No. We’ve never heard of that before.” I’m like, “What?” Meagan: Whoa, really? Hannah: Yes. They all start telling me no. So then I asked doctors because then we went in– well, let me go back a little bit. We went in and got an ultrasound because I hadn’t had an ultrasound yet in my pregnancy. We found out it was twins again. Meagan: Really? Hannah: Yes. I had two twin pregnancies back to back. Meagan: Back to back. Hannah: Back to back. They told me it was twins and we were shocked because I had miscarried the twins. I just never thought I was going to be pregnant with twins again. We were very, very surprised. We did an ultrasound. I started interviewing doctors. I couldn’t find any midwives so then the doctors told me, “No. Midwifery is illegal.” Some doctors would tell me that midwifery was illegal in Argentina. Other people would say, “Well, we don’t have any.” It was very confusing. I was pretty bummed because I really wanted that experience that I had with my first. I felt like it was just such a great experience and such a great birth. Through different people and different connections, we started to find health food stores. I really like to eat healthy and things like that. We found more of the hippies I guess you could say. They didn’t live in the city. They lived further out and they would come in and sell stuff. They told me, “We know midwives,” because they had their babies with midwives. I was like, “Oh, this is great.” We actually traveled about an hour out of the city. We would meet with these midwives. I was really happy again. I started feeling optimistic. I was very excited, but it was just very different than midwifery care stateside. For example, they were very nice, but they didn’t do any medical things. Really, they would just be like, “How do you feel?” Meagan: Like more of a monitrice? Well, because midwife and doula– hmm. Hannah: Yeah. They never measured me. They never listened to the heartbeat. They never weighed me. Blood pressure, nothing. Meagan: Did you know what their credentials were? I’m so curious. Hannah: That was kind of a thing too that we were worried about in the sense that some of the people that birthed with them didn’t have birth certificates for their babies. Meagan: Oh. Hannah: We’re like, “Well, obviously we need their birth certificates. We need to get their papers. We need to travel to the embassy.” Meagan: Right. Hannah: Then we started learning that it was more like people who almost wanted to be off-grid. I’m like, “I’m not that natural. I don’t want that.” Meagan: Like underground midwives. Okay, okay. Hannah: Exactly. I was wanting a little bit more care than that because obviously I have twins and I wanted to check on the babies and everything. So they were like, “Well, go to this doctor.” They suggested I go to a doctor so we went to this doctor. In the beginning, he seemed very supportive. That’s where I did all of my bloodwork and my blood pressure. He would check on the babies and all of that. The plan was that I was going to deliver with the midwives as long as everything was looking good. He said that he would sign off on it because he was a doctor and I was under his care. So that was the plan. I was very happy. I was like, “Okay. I’m going to get it.” We were going to do a home birth this time. I had my birthing kit and everything. My parents came in from Texas for the birth so we were super excited about that. Then I went in for my 37-week appointment and everything had been good. The babies were in a good position. Nobody was in distress. My blood pressure was good. Everything was good. I was very healthy in my pregnancy. I go in and he’s like, “All right. Are you going to do your C-section today or tomorrow?”Meagan: You’re like, “What?” Hannah: He completely flipped. It was just like he became very disassociated almost like he hadn’t talked to us about other things whereas before he had told me all of these things that he was going to let me do even if I delivered in a hospital. He said, “Oh yeah. I’ll let you deliver and this and that,” but there was another head doctor that was in that appointment so I don’t know if it was something. Meagan: Maybe. Hannah: Maybe he wasn’t supposed to let me have the baby vaginally. I’m not sure, but it just became a very weird situation. My husband and I just left that appointment like, “What just happened?” Meagan: I bet you were very confused. Hannah: Very confused. We were just like, “We’ll call you,” and just left. So then after that, he started pressuring us a lot to come in and do the C-section. We had to come in and do the C-section. I talked to our midwives about it and they said, “Oh, he called us too and we’re not going to deliver your baby anymore.” I was like, “Why?” They didn’t want to be involved politically because they were underground. It just became– I just felt completely abandoned really by both of my providers because I thought I had a supportive OB and then I thought I had supportive midwives and then within a week they both just abandoned me. Meagan: Switched on you, yeah. I’m so sorry. Hannah: It was very like, “Oh my goodness.” I didn’t know what to do. It was just one of those things. I ke…

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    Episode 257 Windsar's Birth Center VBAC After Twin B’s Cesarean Birth Oct 18, 2023
    Show notes

    “There was no fear. There was nothing traumatic about it. It was just healing and it was so empowering to know that my body could do that. It was an out-of-this-world experience.”Windsar has had three pregnancies and four wildly different deliveries. Her first birth was a medicated, vaginal delivery in a hospital. About 18 months later, Windsar became pregnant with identical twins. Shortly after twin A was born vaginally at 32 weeks, Windsar experienced a cord prolapse, and twin B was then born via emergency Cesarean. Windsar knew her next birth needed to be healing and redemptive. She did all she could to achieve an unmedicated VBAC and finally get the golden hour she never had with her three other babies. Her VBAC birth story is intense, empowering, and absolutely beautiful.Additional LinksNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, welcome to The VBAC Link. I am excited to be talking to you today with our friend, Windsar. Hello, Windsar. Welcome to the show. Windsar: Hello. Thanks for having me. Meagan: Absolutely. She has a story that is not something that we hear very often. We do have one person on the show that has had a similar scenario but actually, it was just her first two babies. Of course, it’s a VBAC, but it’s a twin birth where twin A is vaginal and twin B is Cesarean, then she went on to have a VBAC. So yeah, it’s not something that we hear about a ton or talk about but Windsar was just telling me something that I had heard but didn’t know if it was true, so I’m going to take it because she was told and had a twin birth. When they are identical, there is a higher chance, correct? Windsar: A higher chance of what specifically happened to me which was cord prolapse. Meagan: Right. Yep. I was going to say a higher chance of having this happen which would lead to a Cesarean and that’s cord prolapse. So when baby A came out, there was a whole bunch of room that was created. Baby B came, but the cord came first. Windsar: Mhmm. Review of the WeekMeagan: That is a very valid reason to have a Cesarean and get baby out. So we’re going to share your stories and your VBAC but of course, we have a Review of the Week. This review is from Janellemb142018. It says, “Perfect combination of data and stories.” It says, “I’m getting ready to attempt my VBAC after three C-sections this month.” Yay! It says, “I always wanted a VBAC, but my providers were what I know now to be more tolerant than supportive which resulted in me never getting the chance to attempt a VBAC. I stumbled across The VBAC Link and have now become a fierce advocate for myself.” Oh, I love that. “A fierce advocate”. That is what we want you guys to feel is that you can be a fierce advocate for yourself through learning from this podcast. It says, “This podcast arms you with the perfect balance of data and stories. The data has helped me make a better-informed decision and push back when providers and even loved ones at times try to fill me with fear. The stories are inspiring and make the data seem real. I know my VBAC is not guaranteed, but I feel like I’m in the driver’s seat which in itself is a better experience already. I am where I am today thanks to the resource like this amazing podcast.” Oh, thank you so much. You know, just like what she said. I know a VBAC isn’t guaranteed and sometimes it doesn’t end in a VBAC. That’s okay, right? Sometimes it doesn’t even end up with that and someone maybe might choose to switch their mind and say, “I want to have an elective Cesarean.” But what’s most important is that you find the information and feel that you have the data to make the best decision for you and your family. That is what this podcast is for. It’s to bring you guys empowerment through these stories, the data, and the knowledge so you can go out and make the best choice for you. Just a reminder, if you haven’t left a review, we love reviews. In fact, these reviews, you guys, make it possible for other people in the community to find this podcast. These reviews are so important. We are so grateful so if you haven’t had a chance yet, please leave a review. You can do it on Apple Podcasts, Google, or wherever. We would love your reviews. Windsar’s StoriesMeagan: Okay, cute Windsar. I heard that little baby in the background. Windsar: He’s noisy. Meagan: Oh, I love it. I love him being noisy. Those little coos and noises make me so happy. Welcome to the show. Windsar: Thank you. I’m so excited to share. Meagan: I’m so excited for you to share. Well, I’m going to turn the time over to you and let you start sharing your cute babies’ stories. Windsar: Okay, well my name is Windsar. I live in Austin, Texas. I’m married to my high school sweetheart and we have four kids. Our first is eight then we have twins that are identical twins that are six and then this new baby that is making all of the noise in the background will be four weeks in just a couple of days so he’s brand new. We’re still figuring things out. Meagan: Brand spanking new. Windsar: I’ve been pregnant three times and had four different deliveries. With my first child, a little girl, I had a medicated vaginal birth in the hospital. With my twins, I was medicated in the hospital and twin A came vaginally as you mentioned earlier. Twin B was an emergency C-section for a prolapse. Then this fourth baby, I had unmedicated in a birth center. So I’ll start with my oldest birth. I had the picture-perfect pregnancy. Actually, my OB was the son of the OB who delivered both me and my husband which was really special. Meagan: Really? That is really cool. Windsar: Mhmm, so his dad delivered both me and my husband. We had a great relationship with that OB. He was wonderful. If our daughter had been a boy, we were planning to name him after the doctor. That’s how close we were. We just had a wonderful relationship. Meagan: It just goes to show the impact he had on you guys. Windsar: Yes, but as I’ll say, it kind of clouded my judgment a little bit the day that we had her in regards to informed consent. I’ll get into that a little bit because it did shape my story for this baby’s birth eight years down the road. With her, I went into labor at 40 weeks and 1 day. It was very, very slow as it can be for first-time moms. When I got to the hospital, I was convinced that she was going to come out at any minute just based on the amount of pain I was in and I was 2 centimeters. It was a long night. They wound up putting me on Pit and I was able to sleep. At about 24 hours from the time I had my first contraction to the time that I had her was how long I was in labor. It was about 24 hours so not terrible, but a couple of things happened that changed this last delivery that I had revolving around informed consent. They broke my water without asking me. They just said, “Oh, we went ahead and broke your water,” which I didn’t know was something they could do without asking. They gave me an episiotomy and told me after the fact. Meagan: What?!Windsar: After she was out, he said, “I did just go ahead and give you a little cut there and I’m going to stitch you.” Those two things, I felt a little bit violated after the fact that they didn’t ask me or tell me the risks regarding each thing. Meagan: When they broke your water, was it during a cervical check? Windsar: Yep. Meagan: It was like, “Oh, oops. We broke your water.” Windsar: He literally said, “I went ahead and broke your water when I was in there.” Meagan: “I went ahead.” He actually did make that choice. Windsar: Yes. Again, I trusted this man implicitly so I was just like, “Okay.” Well, it wound up possibly causing a problem because my little girl had a lot of meconium when she was born. She was covered in it, like slick. They suspected meconium aspiration and I had about three minutes with her before they took her to the NICU so I missed that golden hour with her. That was really unfortunate. We didn’t have too many breastfeeding struggles, but as a first-time mom and missing that first hour with her, breastfeeding was more of a challenge than I had anticipated. But overall, when she was born, everybody in the delivery room laughed because I said, “That was easy!” My perception of it was that it was a positive birth experience. I don’t look back on that, besides the lack of informed consent, in any way that I needed to heal from. Meagan: Right. Windsar: About 16-18 months later– so she was born in Dallas then we moved to Northern Colorado so my next birth was with a different doctor in a different hospital. We got pregnant and at about six weeks, I started thinking that something was weird. I was teaching 3rd grade at the time and was having these insane heart palpitations that would stop me in my tracks and make me put my hands on my knees. I thought, “Something is weird here. Something is different.” I started to suspect it was twins. When I went in for my first appointment with this new OB at eight weeks, I said, “I think it’s twins. Can you give me a transvaginal ultrasound to see?” He said, “No. I only hear one heartbeat and your belly is looking normal to me so I think we’re good. It’s just one.” I said, “Okay, well if I come back and there’s two, I’m going to say, ‘I told you so.’” He said, “That’s fine. You can tell me ‘I told you so’.” So I went back at 13 weeks and what do you know? There are two babies in there. Identical. For the rest of my pregnancy, I was pretty heavily monitored for twin-to-twin transfusion, going in every two weeks and then once the school year thankfully ended, I started doing the non-stress tests. The day that I went into labor, I was 32 weeks and 3 days. I had a non-stress test and they said, “Everything looks okay, but baby A is acting a little strange so we want you to come back in two days instead of a week.” I said, “Okay,” but I wasn’t feeling any contractions. Nothing seemed terribly off. I went home. I had dinner. I went to bed and something woke me up in the middle of the night. I sat up and it was like a tidal wave with my water breaking. Meagan: Wow. Windsar: Like in the movies, just whoosh. Very calmly, my husband wasn’t in our room. I think he was out on the couch watching TV. I said, “My water broke. Get the baby ready. We’ve got to go to the hospital.” We didn’t have family there to help us yet. It was 11:30 at night. So we went to the hospital and they did everything that they could to stop the labor. They put me on magnesium which was terrible because it makes you so hot. This train was coming no matter what we did. There was no stopping it. Meagan: How many weeks again?Windsar: I delivered them at 32 and 4. When I got to the hospital, they were 32 and 3. Meagan: So preterm. Windsar: They were planning to induce me because they were identical at 37 weeks. They came 5 weeks before they were supposed to be induced. After several hours, I got an epidural because I knew that there was no chance for me to even try to go unmedicated in case there was an emergency. I got the epidural. We managed to get one of my former co-teachers to come and get our daughter. Literally, about 10 minutes before I told the nurse, “I feel like I have to go to the bathroom,” she looked down and baby A was coming out. She could see his head. Meagan: Oh my! Windsar: It was so quick. We handed our daughter off and they wheeled us so fast. Now, one thing I wanted to mention is that I had been begging for food since probably 1:00 AM. I was starving. So as they were wheeling me to the OR, tears were just streaming down my face and I was saying, “I’m so scared and I’m so hungry that I don’t feel like I have the strength to do this.” I was just bawling because my stomach was growling so much and I was starving. We got down there and they had me quickly sign some release that said I would consent to a C-section if necessary. I signed it and we started getting the rest of this baby A out. His head was basically already out when we got there. Meagan: Already out, crowning. Windsar: They turned my epidural down really, really low so I could feel. I had not prepared at all for any sensation down there and I could feel everything. I was screaming my head off and cussing. He was born. He was tiny. I’ve never seen such a tiny baby. He was 3 pounds, 9 ounces. Meagan: Oh, yeah. Itty bitty. Windsar: They gave him to me in a little warmer bag. It was like a little plastic bag. They put him on my chest. I was looking down at this tiny, tiny baby and they said, “Windsar, baby B’s cord has slipped down and we’re going to have to do an emergency C-section.” I don’t think I could even process that because I’m looking at this tiny baby and hearing those words. I think I just completely disassociated. Because of how vocal I was while I was having A, they said, “We’re going to turn your epidural up.” They turned it up so much that I had to hand off the baby because it felt like I was floating. They started doing the C-section and I was again, screaming throughout all that because I had never experienced a C-section. I could feel the pressure and I was just panicking. Baby A was born. In between when A was born and B was born, it was 26 minutes. I guess that time was them turning up the epidural trying to get me to calm down. Meagan: Were they holding cord inside? What were they doing with the cord?Windsar: They had a hand up holding the cord in. During that time, I started telling them that I was having trouble breathing. Looking back, I don’t know if I was having a flat-out anxiety attack or if the epidural had gotten too high– Meagan: Traveled up, yeah. Which is possible if they turned it up really high. Windsar: But I was panicking and screaming. What they kept saying to me was, “If you’re able to scream like that, you are breathing,” because I was yelling and cussing. So baby was born. They took both of them immediately to the NICU. Baby B was 5 pounds, 4 ounces so that’s why they think that they were preterm because there was growth restriction there that they hadn’t anticipated to be that great. Meagan: For Baby A. Windsar: So they whisked both those babies off. Husband went with them and I had to sit in this little room, I guess while they were weaning the epidural down and I was still complaining that I was having trouble breathing and still complaining that– sorry if you can hear him. He’s eating really loudly. Meagan: That is okay. We welcome the baby coos. Windsar: I was still complaining that I was having trouble breathing and swallowing specifically and then being like, “I’m so hungry. Can I have crackers? Can I have anything?” and they wouldn’t feed me. So that was their birth. They were in the NICU for 26 days which is not terrible for them being eight weeks early. Then they came home and were on oxygen for four weeks. I was able to pump exclusively for them but we were never able to have that breastfeeding relationship on my breast. I pumped exclusively for them for 13 months.Meagan: Wow. Good job! Windsar: I had pretty bad postpartum anxiety with my recovery with them both because of the trauma of the birth, the NICU stay, and then being attached to a pump plugged into a wall 20 hours a day with a toddler. It was just a lot. Fast forward, we wound up moving to Austin and we had a very big gap in between which has turned out to be wonderful. I started getting that feeling in my heart that I wanted another baby, so before I even got pregnant, I started planning what I wanted if I were to be blessed with another baby. I knew that I wanted a VBAC first and foremost. I knew that I wanted to go unmedicated. So before I even got pregnant, I started the mental prep by watching a million birth videos. That was my prep before I got pregnant just so that I could see what natural childbirth looked like. I found out I was pregnant in August and I had been seeing an OB here since we moved here about six years ago that is not VBAC friendly. I went in to h…

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    Episode 256 Anneke's Cesareans + Advocating, Trusting, & Finding Success Oct 12, 2023
    Show notes

    Anneke is a Pelvic Floor Physical Therapist from Oregon who is a long-time VBAC Link Podcast listener. During her first pregnancy, she would listen to 5+ hours of episodes commuting back and forth from work! Anneke was more than committed to having a vaginal birth with each of her pregnancies, but what she has learned from her births about advocacy, trust, and defining success are beautiful lessons that have changed her forever.At The VBAC Link, we are here to help you achieve your goals of a vaginal birth. But even more importantly, we are here to advocate for empowered decision-making in the birth space. Anneke is an inspiring example of being educated, strong, and finding healing within circumstances that were out of her control.“Since my first birth, I’ve asked, ‘Why? Why not me? Why does this keep happening and why can’t I just be like so many others on the podcast and so many others across the country? Why can’t I just will it into being?’ From these questions, I’m starting to believe that my story actually might begin at the end. I’ve realized that maybe my story isn’t about the mechanism of birth at all, but what it birthed in me which was the ability to see my own strength.”Additional LinksThe Lactation Network WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello. Wherever you are listening from, welcome to The VBAC Link. We have three beautiful stories for you today. They are all unique. They all have certain things along the way that add some unique factors. We have our friend Anneke. I keep questioning that, but it’s Anneke and she has had three Cesareans. Her Cesareans really all have been a little bit different and for different reasons. We’ve got IVF. We’ve got low fluid and we have breech presentation. I’m excited to share your stories or have you share your stories today, but as always, we love starting our podcast out with a review. Review of the WeekToday’s reviewer is from a girl named Megan. It says, “Great resource.” It says, “Such a great resource for VBAC mamas to come and listen to women’s stories and get great evidence-based practice information. I do wish these ladies would do a little less interrupting of the storytellers.” Well, I’m so sorry, Megan. We definitely do jump in so hopefully, Anneke, you don’t feel too interrupted. But we do like to be a part of your story as well because we want you to share your story, but we are listening and we are listening for the first time. We are reacting as if someone else would react the first time they are listening, right? So yeah. Thank you, Megan, for your review. We do love your reviews as always. Seriously, anywhere you listen– Apple Podcasts or Google. You can email us. Write us on Instagram. Let us know what your review is because we would love to read it on the next podcast. Anneke’s StoriesMeagan: Okay, Ms. Anneke. Welcome to the show. Anneke: Thank you. Meagan: Thank you for being here and sharing these stories. I just want to turn the time over to you and have you share away and educate these listeners. Anneke: Awesome, well I am a long-time listener of your podcast actually. I think I found your podcast before I gave birth to my first child. Meagan: Oh really? Anneke: Yeah. I was doing 5-hour drives. I am a pelvic floor physical therapist. Meagan: Oh yes. I wanted to talk about that too by the way at the end. Don’t let me forget. Anneke: Well, I was contracted to work where I am actually working now. It was a 5.5-hour drive. I would go down once a month and treat patients so I would listen to 5.5 hours of your podcast. Meagan: You would get through quite a few episodes. Anneke: Yeah. Lots of episodes. I always had this dream that I would be able to come on The VBAC Link with this triumphant VBAC– well, with this triumphant story. I never expected to have a Cesarean. I don’t think anybody ever does. But after I had my first, I was like, “Okay. My goal is to someday be on The VBAC Link with this triumphant story.” I’m not here today with the triumphant vaginal birth that I was hoping for, but I really think that my births tell three stories. The first one is about advocacy and then the second one is about trust and then the third one is about defining success. Meagan: Oh, that just gave me the chills. That really did. So let’s talk about this. Anneke: So my first pregnancy started after about three and a half years of infertility. We went all the way through to IVF. I’d been having some mental health struggles getting through all of the infertility pieces so I’d been doing counseling and that was amazingly helpful. We get into the pregnancy. Everything is going beautifully and at about 18 weeks, I had some really bad swelling. I told my provider and he was like, “Well, sorry. Sometimes people just get swelling.” I just went with that. A friend of mine who is a pelvic floor PT– I was seeing her because I was doing all of the things. I had prenatal yoga and I was seeing a pelvic floor therapist because I had some pelvic pain and pelvic tension in the past. She took my blood pressure one day and it had always been normal in the OB’s office. She was like, “Wow, you’re a little elevated.” That was in August at about 20 weeks probably. Baby looked fine and he was growing just fine. I’m just continuing to get more and more swelling. They were like, “Well, shucks.” I probably went into OB triage three times because I had systolic pressures above 150. Meagan: Oh!Anneke: Yeah. The third time I went in, they said, “Stop taking your blood pressure. Stop coming in. You’re fine.” Meagan: Did you have protein at all? Anneke: No, so everything was always really clear. I was peeing in a cup every time I went into the OB’s office. They would take my blood pressure and they’d say, “You’re fine.” I went in sometime in October to get my flu shot and they said, “Oh, your diastolic (bottom number), is a little high.” I had an OB visit two days later and they said, “Just let him know.” He put me on metoprolol, a beta-blocker blood pressure medication, and had me start tracking my blood pressure which was kind of validating because I had been trying to tell them for weeks that my blood pressure was high. So I’m tracking it and the metoprolo was working okay. My blood pressure was elevated, but it wasn’t scary. I went to my 32-week visit and I actually did have a little bit of protein in my urine at that visit. So we were living in Salem which is the capital of Oregon so it’s a big city. The big research hospital is only an hour away. It’s really close. They went and sent me for bloodwork after I had some protein in my urine. They called me later that day and said, “Hey, your numbers are borderline so we want you to come in and get these injections.”Nobody had talked to me about preeclampsia. Nobody had talked to me about, “Hey, we’re concerned about this.” They were just like, “Hey, you’re probably looking at an induction at 37 weeks.” They said, “You’re borderline. We need you to come in for these shots.” I was heading down to Lakeview where I live now to do some contract work. I said, “Well, I’m going out of town this weekend. Can it wait until next week?” I could come tomorrow. The shots are supposed to be 24 hours apart. They said, “Oh yeah, yeah. It’s fine.” Now, looking back, in a movie, that’s where they would say, “Dun, dun, dun.” They sent me 5.5 hours away to rural Oregon where the only hospital there is a critical access hospital that does not have a NICU. It does not have on-call anesthesia. It has nothing. Although now, having been here, it has a lot more than what we think. So anyway, I go down. I work that day. I woke up the next morning and had all of the preeclampsia symptoms. I bet I had gained 20 pounds overnight. Meagan: Oh man. Anneke: My blood pressure was 180/25. I came down and my mom and my husband were staring at me because I was so swollen. Meagan: You didn’t look good. Anneke: Yeah, and because of the attitude I got from triage– my husband had me call triage up in Salem and they said, “You need to go in right away.” But they had sent me home so many times before, so I was like, “Well, I have a hair appointment so I’m going to go to my hair appointment.” My hair looked awesome and I walked into the local ER here. This is where I grew up, so I knew everybody working and they didn’t recognize me because I was so swollen. I had gone from borderline preeclamptic on Wednesday to by Saturday morning, severely preeclamptic. I ended up being life-flighted out to Salem. Meagan: Oh my gosh. Anneke: The ER doc that was here said, “If you were one week farther along, I would deliver you.” I was only 33 weeks at that point. They got me up to Salem and they were able to stabilize me. They said, “Okay. We’re just going to go week by week. We’re going to try to hold you off until 34 and 35 and get you as close as we can.” So Saturday went by. Everything was looking better. Sunday, our game plan was to wait, and then by Sunday evening, I had stopped peeing. I was drinking tons of fluid. That was actually the first time– I mean, I’m a medical provider and that was the first time that I was like, “Okay. Something is wrong.”Meagan: Yeah. My body is not happy right now. Anneke: Yeah. The nurse was like, “Okay, come on. Let’s just go pee.” I was like, “Dude. There’s nothing in there.” Lo and behold, I had kicked over to near eclampsia. They worked for a couple of hours to try to get my blood pressure down and stabilize me. It wouldn’t stabilize. The OB who was at the hospital in Salem came in and said, “I think we are going to induce you tonight and you’re going to have 36 hours to deliver or we’re going to take you to C-section.” That was really scary for me. I had a doula. I had a doula team that I loved, but my whole birth plan was movement. I really wanted to go medication-free, but they said, “Look, no. We’re going to induce you. Cytotec, Pitocin, and you’re going to be in bed.” I got really scared and talked to my doula and my husband, and then the OB came back in probably an hour later and said, “Nope. Actually, we’re just going to take you to C-section,” then basically turned around and walked off. The poor nurse. I remember just bursting into tears because even though I was scared of not moving, I really didn’t want a C-section. That actually– my son was born the next morning at 3:00 AM and they whisked him straight to the NICU then because of all of the magnesium they had me on, I didn’t hold him. That was Monday morning. I probably didn’t hold him until Tuesday afternoon. I got to see him briefly, but one of the things that stands out to me the most is being in the PACU, the recovery from surgery, and the doc staying with me for about 2.5 hours. Looking back, docs don’t stay with you. Meagan: No. Anneke: They are very worried about you if they are by your bedside for 2.5 hours. We were really lucky. We had a very short NICU stay. We had a wonderful NICU team. My recovery was rough, but as soon as I gave birth, the preeclampsia started to fade. I lost all of that water and I felt a lot better. But I walked out of the hospital 10 days later with my baby, looked at my husband and said, “Next time, I am doing a vaginal birth.” He was like, “Pump the brakes for a minute.” Meagan: He’s like, “Maybe let’s just not even talk about that.” Anneke: Yeah. But I was so committed. I had really severe postpartum anxiety that I probably should have been treated for because if anyone comes out of the NICU, you come out of this gruesome schedule of waking your baby up and pumping and feeding. So for about 6 weeks, I just didn’t sleep and had really severe postpartum anxiety. I should have been treated probably, but you’re not really in a headspace to think about that. But I remember, thank God for my mom and my husband, screaming at my mom about washing the bottles incorrectly. Thank goodness my mom loves me because she was like, “Okay,” and just supported me. Meagan: Yeah, but those are actually signs of postpartum anxiety where you need things to have to be just so or you’re really nervous about a binky falling on the ground. Yeah. It seems super irrational to other people, but it is so real to the person going through it. Anneke: Right. Right. I think it just speaks to the lack of postpartum care that we have. They discharged me. I mean, I found out about 5 years later that I almost died that night. The Cesarean was life-saving. That was absolutely what I needed. They discharged me 5 days later with just, “All right. We’ll see you in 6 weeks,” and then at 6 weeks, they’re like, “Well, back in the saddle, Sally.” There’s no coverage there. No coverage of care for me. Meagan: I know. It’s where we’re going wrong. Anneke: Right. Meagan: They’re going wrong in the postpartum area in a lot of ways. Anneke: Yeah. I had trauma and nervousness. It was probably 6 or 7 months before I finally came out of that postpartum anxiety, probably a year before I felt like myself. After about a year, I mean, I think just like everybody, you’re like, “Okay. I could do this again.” You know? I started to get in shape. I started to exercise again, and then I had this weird episode of bleeding. I thought, “Oh, it’s just my period coming back and being stupid. It actually ended up being a miscarriage. I had never gotten pregnant before. I had never gotten pregnant on my own before so it was kind of this weird happy/sad experience. Fortunately, we were able to naturally conceive my second child, my first daughter, about two months later. Meagan: That’s awesome. Anneke: Yeah, it was amazing. I was so grateful. I found immediately that I had this focus on wanting this vaginal birth. I felt very fortunate because the other podcast I listened to all throughout my pregnancy was one by Parijat Deshpande. She had a podcast– I guess she doesn’t record for it anymore– called Delivering Miracles. It was all about high-risk pregnancy and doing all you can to reduce your risks of having a high-risk pregnancy and also recovering. I think I emailed her office person every week for a year because I really wanted to work with her. I finally was able to get in with her right around the time we found out we were pregnant. She does a lot of trauma relief work. It’s a lot less of talking out your issues and more using movements and visualizations to help bring down your sympathetic fight and flight nervous system. I worked with her throughout my entire pregnancy. I felt like a rockstar. There was no swelling. I guess in the meantime, the other part of the story is that we had moved down to Lakeview– the really rural, critical-access hospital place. We moved down here in between my first and second child. There are no VBACs here so the closest place is about 3.5 hours away for a supportive VBAC provider. Meagan: That’s a long drive. Anneke: It’s a long drive. We actually made the decision that we were going to go back to Salem to do a VBAC. I love my provider down here. I actually went with the guy who admitted me to the ER the day I had preeclampsia. He was a totally different personality than I thought was going to be a good fit for me. When he admitted me that day in the ER, he explained exactly what was happening to me. He explained why he wanted me to do the things he wanted me to do. I thought being flown– and he explained, “Look. You could have a seizure. You could have a stroke. This is my very strong recommendation. This is not a prison, but this is a strong recommendation.” I just really liked that approach. I felt like I had a lot of trust there. He had saved my life. I mean, it sounds dramatic, but he had saved my life once. I went with him again and he was very supportive of figuring out how to make the VBAC work and when to go and how to transition, but he also had a backup plan for a Cesarean just in case. At about 28 weeks, they always do a little ultrasound at the visits, and she was breech but everything…

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