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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 245 Kelsey's VBAC + GBS Positive + Ruptured Membranes for 24+ Hours Jul 26, 2023
    Show notes

    Kelsey would title her VBAC story, “When Everything Goes Wrong”. This episode is a must-listen as she shares her VBAC birth after testing positive for Group B Strep.Kelsey’s first provider: Pushed a scheduled C-section due to a possible big babyChose elective C-sections for all of her own birthsKelsey’s second provider:Wasn’t concerned about Kelsey’s blood clotting disorderDidn’t push for induction upon borderline amniotic fluid levels Limited cervical checksSuggested a Cook’s Catheter at 0 centimeters dilated with ruptured membranesDidn’t push for C-section after 24 hours of ruptured membranes with GBSWe are incredibly grateful for all of those VBAC-supportive providers out there! They make ALL the difference. Additional LinksThe VBAC Link Blog: Group B Strep Prevention and Your Options for GBS+ BirthHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello you guys. Welcome to The VBAC Link. This is Meagan, your host of The VBAC Link. We have a story for you today that has been something that we’ve been seeing trickling in our inbox a lot. So I went onto our VBAC Link Community on Facebook and said, “Hey, I’m looking for some stories with this specific topic.” That specific topic is GBS, so Group B Strep if you don’t know what GBS means. That is something that we’ve been seeing in our inbox of people being told they cannot have a vaginal birth if they test positive for GBS which we all know, I hope through listening to these episodes that you’d know by now, is false. If you are told that you absolutely cannot have a TOLAC, a trial of labor after Cesarean because you have Group B Strep, that is not true. That is just simply not true. We have our friend Kelsey today from outside of Dallas, Texas is that right?Kelsey: Yes. Yes, yeah that’s right. Meagan: Yes and she is going to share her story just proving that. Another fun twist to her story is that she had a rupture of membranes. One of the things providers fear more or worry most about is GBS and rupture of membranes and the longevity of the membranes being ruptured increasing risk of infection. So a lot of providers will say, “If you have GBS, the second your water breaks, TOLAC or not, you need to come in and start antibiotic treatment immediately.” There is definitely some evidence with treating with antibiotics and we’re going to talk about some of that in the end and also some ways that you can try and avoid testing positive for GBS, but one of the crazy things or cool things I should say about Kelsey’s story is that her rupture of membranes was 24+ hours. So a lot of the times, we have providers also saying after a certain amount of hours and they have a cutoff or a certain number of doses of antibiotics, we’re at a high risk for the newborn getting GBS and then we need to have a Cesarean. So I’m excited to hear Kelsey talk about her journey with 24+ hours with a rupture of membranes with GBS. Then another twist to her story is when she did arrive, she was a certain centimeter that a lot of people also think can’t be helped. I’m just going to leave that right there and we’ll let Kelsey talk about that. Review of the WeekBut of course, we have a Review of the Week so I want to dive into that. This was back in 2021, so a couple of years ago actually from mckenna_123 and her subject is “You’re Not Alone, Mama.” It says, “When I had my first baby 7 months ago via C-section due to placenta previa, I was left discouraged and sad with little to no tools to help me process all that had happened. It was hard for me to tell my story to others confidently and joyfully because I felt so isolated by the experience. Enter The VBAC Link.” Ooh, that just gave me chills actually.“I spent my early postpartum months listening to an episode every day while I nursed my newborn. When I came across the placenta previa story on the podcast, I felt so seen and understood. This podcast gave me the opportunity to feel bound to other strong mamas who have healed from similar experiences. All of a sudden, I didn’t feel so alone. I’m not pregnant with baby #2 yet, but when that happens, I will be armed with invaluable tools and knowledge for my journey to have a beautiful and redemptive VBAC. Thank you ladies for being the voice for moms who feel alone and unseen.” Whoa. I got chills all while reading that whole thing. She is so right. You are not alone. We are here with you. I know I’ve said this before and I’m going to say it a million times again but here at The VBAC Link, we truly love. I know we don’t know you, but we love you and we don’t want you to feel alone. That is why we created The VBAC Link because we felt alone. We were in that spot. Julie and I years and years ago felt alone wanting to have this vaginal birth which seemed so normal. Vaginal birth just seems like it should be normal. That’s what happens, right? But then we had these C-sections, unexpected and undesired and we didn’t know where we belonged. We didn’t know what we could do. We didn’t know who was saying whether that was true or not. That is why we are here. That is why The VBAC LInk exists. So thank you, McKenna, so much. Congratulations on your baby that is now probably almost two. Kelsey: And we need an update, McKenna. Meagan: We need an update. Are we having another baby? Where are we at? Are you still with us? Let’s hear that update. Definitely email us. If you haven’t had the time or a chance to put a review in, we would love that. We love getting them in the email box, on Apple Podcasts, and on Instagram. We love seeing your reviews. I’m not kidding you. When I was reading this review, I would get chills and then they would go down and then I’d get chills again and then they’d go down. They mean so much. So definitely if you haven’t, drop us a review. Kelsey’s StoryMeagan: Okay, Kelsey. Welcome to the show. Kelsey: Hey, thanks for having me, for having me on the VBAC podcast. I’m so excited to be here. Meagan: Oh my gosh. Well, I am so excited that you are here and sharing, like I said, such a great topic because I don’t know. Tell me what you have heard about GBS. Have you heard that you can’t have a vaginal birth with GBS? Or have you heard anything like that?Kelsey: Oh absolutely. Not from my doctor per se and I’ll give you some more info about that as I share my story, but I believed that everything had to go according to plan despite listening to y’all’s episodes, despite hearing other VBAC stories, I just felt like there is no way that I can have this vaginal birth after a Cesarean unless everything goes just as it should. My story is one that should be titled, “When Everything Goes Wrong”. Meagan: Okay, “When Everything Goes Wrong”. Kelsey: Yes, yes. I definitely heard that. One of the things that I kept in mind and I’ll mention this too is that when you have ruptured membranes longer than 24 hours– I mean, I Googled this last night just to be sure. You’ll see all over the place, “You’ve got to get baby out. You’ve got to get baby out. You’ve got to get baby out,” and that just wasn’t the case for me. So yeah, I’ve got a lot of fun to unpack with you. Meagan: Yeah, and actually, my water was broken for over 24 hours too and so I connect so much to that because I hear it so much with our clients, “Within 24 hours, if you haven’t had a baby, we’ve got to get baby out.” Some people are like, “Oh, within 8-10 hours, if contractions haven’t started, we have to induce.” But that’s not necessarily the case and we are two people that are living proof of that. Kelsey: Absolutely. Absolutely. Can I start by giving you just a little rundown of baby #1?Meagan: Absolutely. I was going to say, let’s unpack where it all began. That’s exactly where it began, right? Kelsey: That’s exactly where it began. My son was born via scheduled Cesarean in July of 2018 at 40+2. I had never felt a contraction prior to having my son. I was diagnosed with polyhydramnios in the latter weeks of that pregnancy which of course as you know, leads to increased ultrasounds, and the more ultrasounds you have, the more– I don’t want to say that things can go wrong, but he did get the big baby label because he was seen so much. Of course, you guys have shared that those can be up to 2 pounds in either direction. I remember somewhere along the 36-38 week mark, my provider because discussing delivery with me and she mentioned that she would hate to see me run out of the clock on a 24-hour labor which should have been red flag #1. Meagan: Uh-huh. Kelsey: She said that I would be so tired from laboring all day only to have a newborn that would not let me get any rest. She mentioned shoulder dystocia and that he would get stuck. She pulled out all of the stops. Then she even said– and you’re going to die when I tell you this– she said, “I’ve seen too many things go wrong with vaginal deliveries during my residency and it’s why I chose elective Cesareans for the births of my own children.” Meagan: Oh, dear. Oh, dear. She is in the wrong field. Kelsey: I don’t want to demonize her. I trust that she was–Meagan: Probably speaking from her heart. Kelsey: Yes. She was. She was not out to get me. Meagan: No, and this is the thing. A lot of the time, these providers have this bad rap. I’m like, “Oh dear, red flag.” They do take, a lot of the time, from what they have maybe seen. She was mentioning shoulder dystocia. Maybe she’s seen really hard shoulder dystocia so she fears that. She fears that but she’s labeling every other birth that way to the point where she even scheduled her own Cesarean because she was that scared of vaginal birth. Right?Kelsey: Right. Meagan: If you have a provider that is that scared of vaginal birth for herself, then that is a red flag for sure. Kelsey: Yeah, absolutely. Meagan: But we don’t even think about that. Kelsey: Yeah, and I didn’t have the knowledge or experience to present a case for vaginal delivery for myself nor did I feel like I had the ability to so I walked in and had a scheduled Cesarean. It was very routine, very rote. My son did weigh 9.5 pounds, but there I was a first-time mom. I felt like this experience that I so desired to have, this vaginal birth, was snatched right out from under me. I had never felt a single contraction. I don’t know why that was so important to me, but I just felt like I was missing something. Meagan: It’s a signal to our minds and our brains that our baby is coming. Kelsey: Yeah. Meagan: It’s a sure sign when we start having contractions and experiencing labor that, “Okay. We are now entering this stage.” I swear because the same thing, I remember the last time I felt a contraction with my second and I was sad. I’m like, “Wait. Where did they go?”Kelsey: Yeah. So that feeling really set the stage for the birth of my daughter. She didn’t come until about 4 years later, but I knew that the first weapon in my arsenal would be to find a new provider. I conducted some interviews with two providers here in the Dallas/Fort Worth area. You are a part of the Facebook pages like DFW VBAC and you see names pop up over and over again. I chose Dr. Downey who you guys actually, one of your very first episodes was with a gal named Rachel and she used Dr. Downey for her VBAC. I remember there were 13 months between her Cesarean and her first VBAC. Meagan: Wow. Kelsey: So we’ve got a repeat doctor on here. Meagan: Yeah, that is really good to know. Dr. Downey. Kelsey: Dr. Downey, yeah. He was amazing. He never batted an eye. He briefly mentioned induction by 41 weeks due to health concerns on my end. It was nothing major, but I had a few markers for antiphospholipid antibody syndrome. Meagan: I don’t think I’ve ever heard of that. Kelsey: It’s a blood clotting disorder. Meagan: Oh, okay. Kelsey: So I was on Heparin shots. Lovenox shots and then moved to Heparin shots closer to delivery. But he was largely very patient. Very, very patient. He said, “You’re going to be getting a call from the hospital to schedule an induction by around 41 weeks.” I kept waiting, waiting, and waiting for the call. I hated the waiting. I wanted to decline the induction, but I also, to be honest with you, wanted to follow my doctor’s advice so I felt like I was in a really weird place. Anyway, I never got that phone call. I never got that call to schedule an induction. I never had to make that decision because the hospital was packed and they didn’t have room for me and it was not truly medically necessary so I left my 40-week appointment with my next appointment scheduled for 41 weeks and he was like, “Okay. I guess we’re just going to wait for you to go into labor.” I said, “Great. I love that.” So fast forward to my due date, I texted my doula that afternoon an update, and at about 9:30 PM that evening, to my surprise, I started cramping sporadically but because I had never felt a contraction as I said, “I just kept thinking, is this it? This can’t be it. This is it. It has to be. It can’t be. What is going on?”I even got out my contraction timer just to see. My sense of time was so distorted because I was excited but confused. So I got out my contraction timer just to see how long were these cramps. How much time was between them? I didn’t expect any regularity, but I did continue to cramp until early morning. I woke my husband up. Talk about excitement. That guy got showered, packed a bag, and was fully dressed in 7 minutes. Meagan: Oh my gosh. That’s awesome. Kelsey: I very kindly reminded him that this could take a while. He should probably rest. I was resting as best as I could, eating, and drinking, and at 3:21 AM the next morning, I felt that little pop that everyone talks about that you just don’t really know until you experience it. I was glad. Is there such a thing as TMI on this show? Meagan: No. No. Kelsey: I had a pad on by that point because I had some bloody show. I was so glad because I didn’t have this massive gush of water. It was just some leaking. When I went to the restroom, I noticed that it was not clear. I think one of the things that I hope people glean from my story is that you have to do what you’re comfortable with despite risk and statistics and all of the numbers. I knew that yes, I could stay at home and I could continue to labor but I just felt more comfortable going to the hospital with the fact that my waters were not clear. Meagan: Yeah. Kelsey: I called my doula. I send her pictures, God bless her, and with my own gut feeling, my husband’s urging and her advice, we headed to the hospital about 2 hours later and we were admitted by 7:30 AM that next morning. Meagan: Yeah. I just want to talk about despite what evidence may say, “Oh yeah, I’m safe to be here but my heart says that I shouldn’t.” That is so important to listen to. We talk about it on the podcast all of the time. What does your heart say? What does your gut say? But it really, really, really is so important. I love that you had a doula to validate you and say, “Yeah. That’s totally fine. That’s a great idea. You can go on in.” Kelsey: Yeah. Yeah. Absolutely. I think you have to take into account all of your experiences in the past too. What is going on in your life as you’re experiencing this labor, as your baby is coming into this world? I kind of felt like I was taking a risk by having a VBAC. I know that I wasn’t necessarily, but that was big enough for me so I needed to mitigate the other smaller risks by just going to the hospital and being in a place where I felt comfortable. That might not be the case for others listening and that’s okay. Something else I decided fairly early on in my pregnancy was that I did not want to know how far dilated I was. I didn’t want to know baby’s station. I knew that this was a mental game, so whether I was a centimeter dilated upon admission or 6 centimeters, I just did not want to know. I wanted to do what my body was doing, lean into that. My husband was told how far…

    Full show notes at the publisher

    Episode 244 Nurul's VBAC in Singapore Jul 19, 2023
    Show notes

    “Because of that VBAC, it has opened a new me. I did not birth my daughter. I had a rebirth of myself, a stronger self."Nurul joins Meagan on the podcast today all the way from Singapore! She shares how finding The VBAC Link gave her the hope she needed to believe a redemptive birth could be possible after a traumatic C-section experience. After interviewing 11 doulas and many doctors, Nurul fought to build a safe, supportive birth team which made all the difference in the end. We are SO proud of how Nurul achieved her VBAC and found a safe, supportive team with limited resources. We know you will be inspired by Nurul and her beautiful family just like we are!!Additional LinksNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello VBAC Link listeners. This is your host, Meagan and I am so honored to be here today with our guest, Nurul. Am I saying that right? I always feel like I say it Nurul. You guys, she is in Singapore and right now, it’s 11:00 PM her time. She was so gracious to stay up super late and record her story. We have an amazing story. I know they are all amazing, but I think that this is a story that a lot of people are going to connect to because we know sometimes how hard it is in the VBAC world to find and really get the support that we deserve. So make sure to buckle up because this episode is going to be so wonderful and Nurul, I’m so, so grateful for you to be here with us today. Nurul: I think, like I started this journey, honestly I started with The VBAC Link. The moment I found out I was pregnant, I’m like, “I’ve got to find something that understands how I feel inside,” so I went straight to finding something. I found you on Instagram and was like, “Oh god, they have a podcast.” I went straight to Spotify and I’m like, “Okay. I’ve got to listen to this.” I’m hitting play and playing and playing. I listened to episodes all the way down to the day before I gave birth. Meagan: Oh my gosh. I love it. So all of these stories carried you through your whole pregnancy journey and inspired you. Now here you are going to record your story and inspire someone else in the same way. Nurul: Yes. I definitely wanted to come here so bad because I do not know how many of you know how so important it is, but I’m sure you’ve watched Crazy Rich Asians knowing that Singapore literally is a dot on the map. It is so tiny but it is one of the most densely populated countries in the world. It is probably one of the top five, so it is very crowded here. The pollution is terrible but if you’ve been to Singapore, it’s completely clean. It’s clean and beautiful and what comes with all of that is convenience. That’s the thing with convenience. When you talk about convenience and how we talk about morning times and everything, come to Singapore and it is really about convenience. It’s terrible to say but I was proud to see that we don’t want more than say five or ten minutes to a bus stop and to travel from one end to another in Singapore, it takes no more than one hour. Meagan: Whoa. Nurul: That’s how tiny Singapore is. And with how tiny Singapore is, you’ve got 9 government huge hospitals that are heavily subsidized by the government and we’ve got 9 equal hospitals that are private. Meagan: Wow. So 18 hospitals. Nurul: Yes. If there are more, I’m not sure, but these are the hospitals that are quite known amongst *inaudible*. And with all of these hospitals, I have to say that there is a culture that comes to see people being comfortable. It’s the culture of, “I want the best doctor. I want the best hospital. I want the best of this and I want to be treated well. I’m giving you the dollar. I want to be treated–”Meagan: Like royalty. Nurul: Yes, really. It’s terrible. So it happened in 2019. I was married in January 2019. I found I was pregnant in March 2019. The due date was in November. Of course, I was one of the few of my friends that got pregnant. I didn’t know who to really talk to about this. So then my husband introduced me to some of his friends and wives and all of that. This doctor, I’m not going to say his name, popped up many times. I’m like, “Okay.” This doctor was famous even when my mom was pregnant with me. Over 30 years ago–Meagan: That’s how it was with me. My mom’s doctor delivered me and performed my first two C-sections. Nurul: Oh my. Meagan: Yeah, but he did me. Yeah. Nurul: Really? Crazy, yeah. I think it’s also crazy that these doctors are carrying these names with high Cesarean numbers. I know. So, Dr. A., I went to Dr. A. My husband and I are people who are very honest. We like honesty. We want it. He had this joking tone. He made me feel comfortable. He was like, “Do you have any questions?” and this and that. I said, “Okay, then I’ll see you again next month,” and next and next. There were many red flags which, of course, I didn’t know to look out for these flags. That’s why when you are first pregnant, I strongly say that many of us are like, “Oh, I’m pregnant. What am I going to do? How am I going to get everything?” Ask any mom and they will say, “Oh, you’ve got to get this crib and you’ve got to get these wipes and you’ve got to get this swaddle.” No one really talks about, “Hey, do you want to talk about your birth plan? How are you going to prepare for everything? Are you thinking of going to this class or this birthing class?” No one asked me that. I even had a friend who said, “Oh, I wasn’t reading until 38 weeks.” I thought, “Okay, I’m just going to stop work for a while and then get myself ready.” But you know, no. We don’t want to read about birth. Not a single person. Even my mom and you know? Now, in 2023 in modern Singapore, talking about birth is such a taboo. No one really talks about it. Meagan: Really?Nurul: Really. I asked my mom. I said, “How did you give birth to me?” “Oh, I ended up there. They induced me. I put a pill on top of my lip and then you came an hour later.” I said, “Oh, it’s that easy?” She said, “Yeah, you just push.” I said, “Oh, okay.” Nothing about how there are some that you might get this way and nothing like that. So then pregnancy was all good. I’m now at 37 weeks. He said, “Oh, your baby is growing well and is very healthy. I like that. Your blood sugar level is good. Everything is fine. Iron was a little low, but manageable.” At 38 weeks, he said to me, “Do you know that if your baby is out now, your baby can breathe on his own? You don’t have to *inaudible* and your baby doesn’t have to go into the NICU, nothing like that. Your baby will be healthy.” I said, “Oh, it’s okay. I’ll go a little bit more.” At 39 weeks, he was like, “Oh, your baby is getting a little big. I’m sure he’s getting very heavy.” I said, “Yeah, I am feeling heavy, doctor.” He said, “But if you want to wait, go ahead.” All of these signs were all conditioning which I did not know. And then at 40 weeks, so we came in at 40 weeks and he was like, “Do you know that when your baby hits 40 weeks, your baby doesn’t grow anymore in your tummy?”Meagan: Oh!Nurul: Yeah, he told me that. He spoke *inaudible”. He said that the baby is not going to grow anymore. It’s like, there’s nothing more that your baby is going to absorb. He said that if you feel like you want to haste things up and you want to make things faster, come on in. You can induce. If you want, I can check you to be in. I was like, “Great.” I got my son checked. I was high, high, and 0 centimeters dilated. Everything was telling me, “You are not ready for this.” He said, “I’m sure you’re tired.” I said, “Yeah, I am.” He said, “You know what? If you think that you want to get induced, drop me a text. I’ll come down that morning myself.” So at 40 weeks, at clean midnight I was telling my husband, “I am really heavy. I don’t want to be like this anymore. Can we just go?” It was a few minutes after midnight and he said, “Oh, let’s go to the hospital.”We go to the hospital with *inaudible*. I said, “I want to get myself induced.” They sent a text to my doctor. He came in that morning and said, “All right. Let’s get you induced.” They got me induced. 18 hours later, nothing. Nothing. Every check they did, I was on the highest level of Pitocin, nothing. I felt nothing. Even though they said, “Oh, look at this. Look at the numbers. They’re so high. Are you not feeling anything?” It was like, “I think your baby is really big and this is what needs to happen. The passenger is big. Your passage might be small. That’s why baby’s not coming.” Meagan: Oh, barf. Your passenger may be big. Nurul: Yeah. Your passenger is big but your passage is small. Meagan: Your passage is small. Nurul: You know, he used these words. I said, “Oh no.” It was like, okay. He was like, “It’s been 18 hours. It’s getting dangerous.” But I did not know how to ask him all of the questions I should have asked. I didn’t know because it was like, “If you are going to wait any longer, you can go ahead. I’ll give you 6 more hours. 6 more hours. If you don’t go into labor, I’m taking over.” Then I’m like, “Taking over?” He said, “Yeah. It’s getting dangerous. If you don’t feel comfortable, you can find another doctor.” I was like, “Oh. I’m really here, you know.” I was like, “No, no. Of course, I don’t want that.” He said, “Okay, then if you want to go ahead with 6 hours, but I can’t guarantee that baby will come in 6 hours.” He said those words and I’m like, “Oh god. I’m really so tired. I want to rest. I just want to see my baby.” I said, “You know what? I don’t know what I should do now.” I asked him, “What should I do now?” He said, “If you want to think about Cesarean, easy. We’ll do a Cesarean. You can wait 6 hours. I can’t guarantee your baby will come but you can wait and see all that time.” And I went through it. My husband went down with the payment. There was *inaudible*. Now that I’m looking, I don’t see any emergency Cesarean. When you see the word emergency, it means that you can’t wait. My husband had time to go down to the counter, make payment, and come back up. We had a little talk and all of that. There was no emergency to this but I still went for it. I went for it. He was born–Meagan: I just want to say that that is okay too because the same thing with me and so many out there, right? With my second, it was like, “I can give you another hour,” and what was an hour going to do when I was having this pressure? What it did was it stopped my contractions. I don’t remember feeling a contraction out of that because I was so stressed, so overwhelmed, so defeated. I was like, “Let me just walk,” so I started walking and I just remember breaking down and I was like, “Fine. I feel pinned against this wall.” It’s not, again, mine wasn’t an emergency. I walked down to the OR and climbed onto the OR table. It wasn’t an emergency. They actually called it an elective. I wouldn’t even call it an elective. I mean, yes. I did elect, but it wasn’t like, “Sign me up. Sign me up. Take me down.” So many of us are in that situation where we’re like, “Okay, all right. Let’s do it then.” Nurul: Yeah. He didn’t even explain to me, “I’m going to cut this many layers.” The only thing he said to me was, “When I call out your name, wave up and give the hardest cough that you can because you will be intubated with this.” Meagan: Oh, they intubated you. Nurul: Oh, because I said, “I don’t want an epidural.” Meagan: I got you. Nurul: It was when we decided on the C-section, I gave myself just a few seconds to shed one or two tears. I’m like, “I can do this. I’m strong. Let’s get through it.” I told my doctor that I wanted GE. I don’t want to go through it. I woke up. He woke me up and then he said, “I was right. Your passenger was big but the passage is small. Baby isn’t big but your baby’s long.” I’m like, “Okay.” Meagan: Oh my gosh. How big was your baby? Nurul: He was 3.47 kilos only. Meagan: Okay, okay. Nurul: So pretty average, yeah. Then I wanted to breastfeed badly but I mean, when you go through such trauma that then I didn’t know was trauma, I ended up going through a lot of that. You’re just not happy. Milk didn’t come. I jumped back into work because I just wanted to drown myself from the weight of all of this. I had this feeling of, “I’m not good enough. Why couldn’t I birth my son? Why couldn’t I do it?” There is this saying in Singapore, in my race, I believed and aunties would say, “Oh, yeah. Baby went out the window instead of the door.”Most are shocked. As much as women mean to jokingly say it, they are shocked. They hit you at the most vulnerable state because you’re already at your lowest. I was really down but I constantly had a smile on my face. I was keeping it all in. My husband knew that I was going through a time where it was just postpartum depression with postpartum anxiety. But I was so lucky because I had the support there at home. I had my husband there. He played such a huge role in just being there with me and trying to understand what it was that I was going through. But the thing was that he was also going through it. We went through such a difficult time together. We didn’t even want to talk about having a second one because that was how bad it was. I think it was almost two years later and we got pregnant with my second one. I remember when after I gave birth to my son, my first one, I saw this TV star who was talking about VBAC. I was like, “What’s VBAC? What’s VBAC?” I wanted to listen and then I was like, “Oh, you can have a vaginal birth after Cesarean?” I didn’t know that was possible. No one tells me that. I thought once you cut yourself, you have to cut yourself forever. I went to see stories. I read about her story. I’m like, “Wow. She is amazing.” But then she was full of *inaudible* mind. She was strong and she was loud. And yeah. She was a TV star. Meagan: Still, she’s a human being doing that. Nurul: Exactly. It was like, that was how much my self-esteem was completely gone. I thought that I was not sufficient. I’m not mother enough to birth my son. It was so sad. When I found out I was pregnant with my second, I was like, “I don’t want to go through that.” It took me so long to get up on my two feet so that my son would have the best version of me. I cannot. I cannot do that again. I remember those words VBAC. I went to Google VBAC, what is that? I’m like, “This is interesting.” Then I went onto Instagram and I went to search on the hashtag VBAC. Already, it was just right on and then I found The VBAC Link. I found you guys. I started to listen. It was like, “Okay. I can do this. I can listen.” The next thing I know, I was on episode 5 and I think it was the husbands. Meagan: Oh, uh-huh. We had our husbands on. Nurul: Yeah. I remember I was like, “Oh my god. This is the best thing. I can do this. I can do this.” So then I was thinking. Also, I met a friend. She tried to VBAC three times. She tried to VBAC two times. It was a complete failure. She was really sad. I was talking to her saying, “What do I do?” I even talked to her husband. They said, “Get a doula. Make sure you get the right doctor.” This was my in. I was like, “I have got to get a doula. Someone’s got to help me. Someone’s got to get me and my husband on track. I’ve got to get the right doctor. I’ve got to get the right doctor.” And from then on, I actually interviewed 11 doulas. Meagan: Yeah, okay! You’re like me where I interviewed 12 doctors and you interviewed 11 doulas. But that’s awesome to hear that you guys have that many doulas in your area. That’s awesome to hear that you have a good amount of doulas. Nurul: Okay, but with the amount of doulas, there are only a handful. There are a lot in hospitals. Meagan: Oh, really?Nurul: Really. Only a handful. Only a handful. So with every interview that I did with doulas, one of the first questions I asked was, “Can you be there with me during my active labor?” There were so many that said, “I can’…

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    Episode 243 Dr. Kimberly Spair's VBACs + Postpartum Depletion Jul 12, 2023
    Show notes

    Dr. Kimberly Spair does it all! She holds a Ph.D. in Holistic Natural Health and Nutrition along with lots of additional certifications and degrees, all of which have helped her create an amazing career around helping others find holistic healing. Dr. Spair specifically helps postpartum women find ways to naturally combat symptoms like anxiety, exhaustion, and overall depletion. She is a VBAC mama herself and knows personally what kind of support birthing women deserve. Dr. Spair is so lovely and gracious. We know you will love this episode like we do!Additional LinksDr. Kimberly Spair's WebsiteFree Postpartum RecipesNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello Women of Strength. We have a special episode for you today. We have our friend, Dr. Kimberly Spair. Is that correct? Did I say it correctly? Dr. Spair: That’s correct. Yep. Meagan: Okay. That’s how I say it in my head. Sometimes I say it and it’s totally wrong. Dr. Spair: Yep. You’ve got it. Nope. Meagan: I said your name wrong like three times. Kimberly. Let me start sounding it out.Dr. Spair: You’ve got it. Meagan: You guys, she’s amazing. I was really drawn to her page a while ago because of something I had seen. I think it was a post about nutrition. Nutrition is something that is huge for me. I saw such a change when I dialed in on my nutrition, especially for my VBAC. I really dialed deeply into nutrition for my VBAC. I do believe that it helped me so much. So as I started digging into her and following her posts more, I was like, “I love her. She’s amazing.” So it is so awesome to have you today on the podcast. Dr. Spair: I am so excited and I love looking at your pages because you’ve got all of the statistics to give moms that home. The moms, and the resources like, “Oh, I had a C-section? Guess what, I can still have a vaginal birth.” I love it. I’ve been quoting you left and right in my posts so I’m glad we’re here today. Meagan: Well, thank you. We actually just shared one of your posts which was amazing. So you guys, definitely want to check her out. We’re going to have all of her links in the show notes today. Review of the WeekWe do have a Review of the Week today and then we are going to dive into this yummy episode. This is from wallabygirl and the subject is “We Got Our VBAC”. It says, “Meagan and Julie, after my first birth turned into a C-section, I knew that I wanted to try for a VBAC with my next baby. When we found out that we were pregnant in January 2022, my husband and I started doing a ton of research. I found The VBAC Link Podcast and was so inspired and encouraged. I love the mix of data, birth stories, and interviews with experts in the field of your podcast shares.”Well, guess what? That is exactly what today’s episode is. A podcast with a VBAC story and data and amazing information from a professional. It says, “I listened to your podcast on my commute to and from work and learned so much. My husband and I took Spinning Babies and I started seeing an amazing chiropractor who specializes in pregnancy and bodywork. Our midwives and OB team were so supportive and awesome and the podcast helped us know the right questions to ask. Finally, after a long labor and an unmedicated delivery, we welcomed our baby girl postdates at 41 weeks + 1 day.” That was in September of 2022. It says, “I feel amazing and I cried when I got home and was able to pick up my two-year-old son. Thank you, thank you for this awesome podcast. I will be continuing to listen and highly recommend this valuable information for friends and family.” I love reviews like that, wallabygirl. Thank you so much for leaving that review. And if you haven’t had a chance to leave a review, push pause right now. Head over to Google, Apple Podcasts, or wherever you are listening, and leave us a review. Dr. Kimberly SpairMeagan: Okay, Dr. Kimberly. Dr. Spair: I have to say you know you’re in the right field. That review just gave me goosebumps and tears not just because I’ve seen so many VBACs now but it took me back to the first time that I VBAC’d. It’s just a full body, tears, chills, emotion, and all of it. It’s the best. It’s the best. I love that. Meagan: I know that. Anytime we get these reviews or when we’re doing consults because we have one-on-one consults as well. We work with people and they tell us the update. It just makes me so happy seriously down to the core to hear these amazing people being inspired. Even if it doesn’t end in a VBAC, right? Dr. Spair: I love that. They’re still empowered. Meagan: They are empowered and educated along the way so we are making the choices and sometimes we know. We are going to talk about how sometimes emergency Cesareans happen and sometimes they’re out of our control but if we can feel empowered along the way, it truly does help our outcome in the postpartum stage which again, we’re going to talk about today. You guys, we have such a great episode for you. So, Dr. Kimberly, I would love to turn the time over to you and just let you share your story and how you got going. Dr. Spair: All right. So why I’m here is because I’ve had two VBACs myself. My first birth, I was planning for a natural birth. I had the Webster Chiropractic. I did the Hypnobabies. I was doing prenatal yoga. All the things. Massage. I just wanted this beautiful water birth. That’s what I was planning. For my first birth, I decided to birth in a birth center. Thank God it was attached to a hospital at the time. My pregnancy was beautiful. I had no issues. When I was 37 weeks, I stepped out of the shower one day and my water broke all over the bathroom floor. I called my midwife and I said, “My water broke.” She said, “You probably peed.” I’m like, “Nope, I’m pretty sure I didn’t pee. It literally was a burst all over the floor.” I went into the midwife’s office. She was like, “Yeah, I don’t really think your water broke. I don’t think you’re in labor.” Okay, I went home. I was having all of these contractions. Again, I was a first-time mom. I didn’t really know what was going on. I also was doing Hypnobabies so my threshold was in a good place with it.Long story short, the day progressed and I’m still thinking, “Man. These are a lot of Braxton Hicks. Something’s going on.” I called the midwife again. This was 8-9 hours later. She was like, “All right. Head over to the birth center.” I go to the birth center. They’re like, “You’re not in labor. You’re dilated but your water didn’t break.” They used those little strips. They’re like, “You know, you’re water didn’t break.” Okay. I go home. Now, it’s 3:00 in the morning and I wake my husband up. I’m like, “We’ve got to go now. We’ve got to go now.” So we get in the car and had a 45-minute drive. I didn’t know until after but I went through transition in the car. Meagan: Okay. Dr. Spair: I got out of the birth center and I stood up and my son’s leg was out. Literally out. I waddled into the hospital. I should have started with this. I don’t like to share war birth stories with moms that are about to give birth so I should have said before I started if you are about to give birth, listen to this later. I don’t like to scare moms. It’s such a rare occurrence that these kind of situations happen. Emergencies do happen and when emergencies happen, we are so grateful for modern medicine and we’re glad that we were okay. My son, I’ll go back to the story in a minute, but I just wanted to say that if you’re a mom that’s ready to give birth, don’t listen to any negative stories. So anyway, I got out of the car. My son’s leg was out. I waddled into the birth center. The midwife on call came in and she’s like, “Yeah. You’re 10 centimeters.” Then all of a sudden, everyone was like, “Don’t push!” They’re screaming at me. She was like, “Can I just wiggle him out? What do we think is going to happen here?” And he was stuck. So leg out and his body was basically–Meagan: Doing the splits. Dr. Spair: He was in a split. If they would have tried to let him come out vaginally, he would have broken his hip, his leg, his shoulder, and maybe his neck. Meagan: Complications. Dr. Spair: It was a very, very complicated situation. So of course, it was the coldest day of the year and there’s no doctor in this birth center even though it’s attached to a hospital. So they were like, “All right. We’ve got to get to the OR now.” They’re prepping me. They’re screaming at me not to push. I’m traumatized completely because here I’m thinking that I’m having this beautiful water birth. It’s going to be peaceful and nice. Here I am strapped down to the table which I never knew was a thing until I went through it myself. They’re saying to me, “If the doctor doesn’t get here soon, we’re going to have to knock you out.” I’m like, “Knock me out? What is happening?” Long story short, my son came. Thank God he was fine and I was fine but it was one of the most traumatic things that I have ever been through in my life. The healing was really hard. I remember trying to change my newborn son’s diaper and being in excruciating pain. All around, I just had this postpartum, we were just talking about this how people say postpartum depression, but to me, it was postpartum depletion.Especially after a C-section, we’re so depleted because we’ve had all of these medications and all of these interventions. We’re not getting that natural oxytocin that we get with a vaginal birth because your baby’s right on your chest and you can nurse right away. There are gentle C-sections, but in my case, they took the baby. I had some complications. He had a fever. There was a lot going on because my water did break. It was broken for all of those hours that they kept saying, “Your water didn’t break. Your water didn’t break.” My water did break and my son had an infection. So the bottom line is that I ended up with a C-section even though I was planning for this beautiful, natural birth. Again, I do believe that God gives us these situations because it makes us who we are and just like you shared, we go through– that’s why I share my other birth stories. I have experienced a lot of different birth scenarios and I think it helps us relate to other women who are going through similar things. Meagan: Absolutely. Absolutely. I think that’s a really unique thing about us here at The VBAC Link. Me and my team have all of these unique situations where we can really personally relate. Dr. Spair: Yes. You personally relate. But then I like to bring women back to say that if you are someone that is planning a natural birth, a home birth, or whatever, these situations are really rare. Like yes, I went through it. Yes, she went through it, but it’s not that we shouldn’t be trusting our bodies and knowing that they know what to do. Just that emergencies can happen just like with anything. Things can happen and we’re grateful for lifesaving measures when necessary. Now, are C-sections overdone and are they done just because it’s Christmas morning and the doctor wants to get home? I mean, that’s a whole other conversation about how C-sections are definitely performed way too often. Moms who have had one C-section are basically put into this box of, “Okay, you’ve had a C-section. Now you should have another C-section. Now you’ve had two C-sections. You definitely should have another C-section. Why would you even try to have a natural birth after that?” Meagan: Yeah. Dr. Spair: I love that you share that you had two and then you had a vaginal birth. That’s just incredible and I think that provides a lot of hope even for my community. It’s never too late to trust your body and give it a shot. Meagan: Absolutely, yeah. Dr. Spair: So then two and a half years later, I got pregnant again and I’m like, “I’m going to have a VBAC. I want to have this natural, beautiful birth.” And I did. I had my daughter right next to the hospital. It was a home birth but it was not in my own home. Because of the state that I live in, I actually had to cross state lines. And that’s another thing. People say to me all of the time, my women will say, “Oh, well near my house, there’s not this resource or there’s not that resource.” Sometimes we have to go get the resources. The state that I live in does not allow VBACs to happen outside of the hospital, so I went to another state. These are things that we can make happen if it’s that important that we don’t go through another C-section. For me, I knew that if I went through another C-section, I never would have had a third child. It was that traumatic for me. It was that hard to heal from. It was something that I never wanted to experience again and I knew if it happened a second time that I was done. I knew that I wanted more babies. So my second one was a home birth VBAC literally a mile, two miles from a hospital at a location with midwives and it was a beautiful, healing birth. He was 42.3 weeks and that’s the other thing I would love to talk about. People who get induced at 38-39 weeks depending on what’s going on, 41– oh my gosh. We have to give medication. When you wait until your body is ready and your baby is ready, your chances of having a natural birth, especially a VBAC, go way up. Way up. My third birth was a VBAC at home right here, right over there in a pool right in my own bedroom. I went from a very traumatic, horrendous birth to a second birth where I was hanging onto hope but I was still a little nervous about this whole situation, to a third birth where my midwives literally got here at 11:00 at night and I stepped into my pool and at 1:08, my baby was here. I was in labor all day long. I was at the park with the kids. They were scootering around. I was walking. I was doing squats on all of the play equipment. I cooked dinner. I was just holding the counter going through my pressure waves. I took a shower and was oiling up my belly and the whole thing. I went down and had a snack. I’m on the ball. The kids are with me and then I was like, “It’s time to go upstairs.” They got here. I went through a couple of birthing waves. I got in the birthing pool and there she was. There she was. It was beautiful. With the third one, I truly visualized my birth and this is part of what I’m going to be helping women do in the future. It’s a whole visualization process because it’s so true when you can take your fears which, with that first VBAC, I had fears of all of the things because they brainwash you into thinking you’re crazy and that you actually want to go ahead and do that. But I love seeing your statistics because it’s like, wait. You actually have a better chance of a VBAC. But what I was going to say is the process of visualizing what you want your birth to be like is so powerful. That’s what I want women to hang onto. Even if you come into a situation where interventions have to happen or the birth plan changes because they do, coming from an empowered and relaxed state is completely different than showing up at the hospital in this raging fear, terrified mode. There’s so much to be said about the education and the empowerment piece when it comes to successful VBAC. Meagan: Absolutely. Yeah. I think, like you were saying, there are so many people out there, not just providers. Providers are sharing things and sometimes they share things that may sound fluffed a little bit because of maybe one of their experiences so they have trauma. Dr. Spair: Yeah. Always. Meagan: They see these things and sometimes the way they say them is like, “Oh, whoa. That’s really scary. Maybe I am scary.” Then they twist our thinking. But it’s not just providers. Many people out there– friends or family. Dr. Spair: Family. All the time. Yep. Yes. Meagan: Everybody, right? I mean, I was in a VBAC-supportive group on Facebook and I was still being told, “How would you even?” It’s so hard so that’s why it’s so important for us to really learn those…

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    *SE10 Learn more about prenatal vitamins with Julie Sawaya + Needed Jul 10, 2023
    Show notes

    We have a very special guest on the podcast today, Julie Sawaya, who is one of the co-founders of Needed, a company that focuses on providing women with the highest quality of vitamins needed during the entire perinatal period.Julie shares with Meagan the research behind Needed's prenatal vitamins and supplements. She talks about why you need a prenatal vitamin in the first place, the optimal dosage and forms of specific vitamins in pregnancy, how supplementing proper nutrition in the best ways can positively impact your entire birth experience, and so much more!Use the code VBAC20 to receive 20% off at www.thisisneeded.comAdditional LinksNeeded WebsiteWhat to Look for in a Prenatal VitaminFolate vs Folic Acid. What's the Difference?Ryann Kipping: The Prenatal NutritionistReal Food for Pregnancy: The Science and Wisdom of Optimal Prenatal NutritionHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsMeagan: Hello, Women of Strength. We have a very, very special episode for you today. We have our friend, Julie Sawaya, and she is the co-founder of Needed. If you haven’t heard us talking about Needed yet, go listen to the other episodes and get on Instagram. You guys, Needed is incredible. She is a mama of two young girls. We were just talking before the episode and her youngest is nine months. She is a lifelong nutrition nerd. I love that she calls herself this, a nutrition nerd. I’m a birth nerd. When we find ourselves passionate about something, we just nerd out, right? It’s so amazing. Julie grew up in a family of medical doctors and learned at a young age the power of nutrition and how it can influence or help. Julie went on to study the issue of nutritional access in college and got her Master’s in business from Stanford where she met her Needed co-founder, Ryan Of the most nutritionally aware of their friends, Julie and Ryan were shocked to realize that through nutrient testing, they were seriously major deficient in key nutrients. We don’t think about it, Julie. We just don’t think about this, I think, enough. We think we’re taking something and we think that we’re good. They found out that there was really much more needed for a healthy pregnancy. They dug into the research and they realized that they were not alone. 97% of women take a prenatal, yet 95% have nutrient deficiencies. Let me just say that again. 97% of women take a prenatal, yet 95% have nutrient deficiencies. Most prenatal vitamins just weren’t cutting it and Julie and Brian started Needed to create a new, higher standard for perinatal health. Working alongside a collective of more than 3,000 perinatal nutrition and health experts, together they have redesigned the products, education, expertise, and experience that women need. Welcome to the show, Julie. I seriously am reading this and I’m like, “Oh my gosh.” This is amazing because like I was saying when I was pregnant years ago, I did not pay attention to anything. I got the bottle. I took it. Check mark.Julie: Yeah. No, I mean, I think it’s a problem. The core underlying problem that we’re solving at Needed is that women are nutritionally deficient in this life stage. It’s a problem both with the products that are available. Most prenatal vitamins are designed to meet just the bare minimum nutrient needs, not to set you up for optimal health, and it’s also an awareness or an education problem because, in some way, it’s a problem that you don’t know you have until you feel the effects of it. We’re told it’s normal to feel depleted, that it’s normal to not feel your best, to feel like yourself during pregnancy or postpartum. So many of the complications of pregnancy have a nutritional root to it whether it’s gestational diabetes or preeclampsia or hypertension or nausea even, or more severe nausea like hyperemesis. There is a nutritional component to it. Not to say that nutrition is a cure-all, but it’s a reasonable first step in supporting your body optimally. Meagan: It’s huge. Julie: What Ryan and I found when prior to starting the company is that despite how important nutrition is and yes, I am a lifelong nutrition nerd. Ryan and I are also trained nutritionists. It was truly and utterly shocking to us that we had these deficiencies but what we realized once we looked under the hood is that this problem is widespread and part of the problem stems from the fact that it’s so common for women in the U.S. to see an OB. I come from a family of MDs and I have huge respect for the medical profession. But most doctors aren’t trained in nutrition. It’s actually not a requirement in most med schools. I think somewhere in the range of 50% of med schools don’t require one nutrition course. The average OB appointment time in the US is 7 minutes long so even if an OB is trained in nutrition and has the intention to help educate their patients. OBs are generally very well-meaning. They’re just people who are constrained on time and with the curriculum as we like to say, the curriculum is flawed, not the people. But even if all of the stars align in 7 minutes, you can’t get all of your nutrition questions answered. What we hear again and again, the most common recommendation is, “Take a prenatal vitamin,” and then you ask, “What kind?” and then they say, “It doesn’t matter. They’re all the same.”Meagan: Just take one, yeah. Julie: “Just take one. Make sure it has folic acid in it,” which I’m sure we’ll get into. That particular nutrient and nutrient form. But there is so much more to prenatal nutrition than vitamins and minerals. But even if you just focus on vitamins and minerals, it’s really hard to pick a prenatal. There are over 100 on the market. There is a vast difference when it comes to quality. The quality of the nutrients, the quality of the nutrient forms, and dosages. We spent over three years formulating our first products with a collective of health and wellness practitioners that study perinatal nutrition and looking at all of the available clinical research on nutrient dosages and forms, and what pregnant and lactating women need. The reality is that there are a lot of nutritional gaps. That’s where this collective of practitioners that are testing women’s nutrient and hormone levels every single day really, really matters to understand in practice what does it take to dose? What dosing of Vitamin D do you need to give your patients to be in optimal nutrient ranges? It seems like such a basic question, but no prenatal company had done that legwork to understand what’s actually optimal. Meagan: That is what I was going to say. There are so many things about Needed that I love. Honestly, one of them is how this company came about. It’s two women that found that there was something lacking out there and had a passion from themselves and had passion to share it with the world. That’s how The VBAC Link started. Myself and my old partner, Julie, same thing. We just found this passion so I love the heart that comes behind this company and then really what you guys have done. You’ve built it from somewhere where it was really mediocre if you could even call it that is incredible. Like you said, not only getting ingredients but the optimal amount. As I have compared in the past, there are so many out there that are even recommended on Amazon or wherever and they don’t even have the ingredients at all let alone that optimal amount. I am so excited and honored for you to be here today and be talking to our community because I think that it is so important. Like you were saying, it’s not that my provider had any ill intent to not give me that information, but it really was as I was walking out, he goes, “Oh, and by the way. Make sure to start a prenatal right now.” I was like, “Oh, okay.” That was it. That was it. I did. I found myself Googling it and found one. I was like, “Okay, cool. That one has some okay reviews.” I got it and I really didn’t know the impact that it was leaving or lack thereof. Julie: Yeah, totally. I think some of that comes from there is misunderstanding that a prenatal vitamin is for the baby. By and large, unless you have massive nutrient deficiencies, the baby’s going to get what he or she needs to develop properly, but often at the expense of your own nutrient reserves. As a mom of multiples, you know that oftentimes, women experience and understand the pain point more as a second-time or third-time mom than as a first-time mom because once you’ve been through pregnancy and birth and if you choose to breastfeed or pump, you can feel it viscerally how depleting that experience is maybe more so than a first-time mom that hasn’t yet been through it all. In some ways, it’s an experience that has to be lived to fully appreciate the problem probably much like the topic of VBACs. You go into a first birth maybe not fully understanding how one birth choice or one birth outcome will impact the second birth choice or birth outcome. What we’re really trying to do at Needed is to raise awareness so that you can make the best choices possible with the information that you have. That’s all that it’s about. It’s not about what I would have done differently with one pregnancy versus another. It’s not at all. Any of the information we share is not in any way meant to shame or add guilt. There is so much of that mom guilt, so much of that fear-mongering out there. That is the antithesis of who we are as a company. But we find that when you’re empowered with the right information, you can make better-informed decisions so that’s a huge part of what our mission is here at Needed. Meagan: Yeah. Yeah, I mean we can relate to so much of that over here. I didn’t know what I didn’t know when I had through perinatal care to birth to recovering after a C-section. We grow from our journeys. Yeah. There’s never any more shame. Mom guilt is way too thick. We lay it on way too thick, especially with social media. So here we are today to have this episode so you can start learning and growing and finding that information so you can make the best choice for you and your growing baby or maybe through your fertility journey or nursing journey or whatever part of the journey that you are in, Needed has so many incredible things, really it all. I’m sorry, but you kind of have it all out there. It’s just amazing. So thank you so much. Yeah, let’s get into some of these questions. Julie: Yeah, I’m excited. Meagan: Me too. Okay, so one of the questions is what is the importance of a prenatal vitamin? Really, why? We’re being told to take these prenatal vitamins and we were just a little bit talking about how there are a lot of things that we need, but why do we really need them and does it matter if we don’t take them?Julie: Yeah, that’s a great question. I like to answer it with a look back at context from nature because first and foremost, I think people are right to have skepticism about supplements in general. Do I need them? Why do I need them? Is it just snake oil in general? I think something that was an aha moment for me as someone who was a little bit of a, “Food is my medicine, not supplements.” That’s the perspective I came into before starting Needed. I think it’s really helpful to understand that one of the main reasons we need supplements generally and then specifically at the life stage of pregnancy or the perinatal stage is because our soil is depleted. Food isn’t as nutritious as it once was and it tends to take a lot longer to reach us than it used to. We’re not generally growing our own food. We don’t necessarily know who is growing our own food. Even if you shop at the farmers market as Ryan and I did at the time. We were testing our nutrients way back 6 years ago when we started Needed. Your food can still be depleted because the soil quietly is depleted. We’re also subject to a lot more environmental toxins which that toxic load increases baseline nutrient requirements. Your body has to consume more nutrients to operate at homeostasis because of the burden of toxins it’s trying to process effectively. Meagan: Yeah. Julie: We have a great book posted on our website. The title is “Why Your Grandmother Didn’t Take Prenatal Vitamins But You Should.” It’s really talking about these factors that are an evolution of modern life.We also now know as we didn’t previously how important some nutrients are, especially nutrients like folate which is vitamin B9. It’s really critical for babies’ brain and neural tube formation. Folate’s sister nutrient is choline. It’s a super important nutrient for many of the same reasons– brain development, cognitive function, neural tube formation. Those are nutrients you don’t want to skip out on in that even with your best intentions, you might be deficient it. 95% of women are deficient in– sorry about that. I have a rowdy dog. 95% of women are deficient in the nutrient choline. It’s most abundant in eggs, liver, and foods like that but in the first trimester, many women have a food aversion to eggs. I certainly was not consuming any liver in my first trimester. Meagan: Yeah, I was going to say that liver never crossed the path of my pregnancy, unfortunately, or fortunately. Julie: Yeah, not at all. Yeah, but in any event, at a high level, prenatal vitamins are there to fill the gaps in your diet. I think that a misunderstanding and the way that prenatal vitamins have been formulated historically is that they’re dosing around a concept called the RDA level which is basically a dosage framework that came out of World War II when the government was trying to determine how to set nutrient levels to avoid serious diseases like scurvy, like a significant deficiency of vitamin C. The entire concept of an RDA is rooted in this idea of, what’s the bare minimum amount of a nutrient I need to give someone to avoid a disease or worse like famine or starvation. Minimalistic, not optimal. There’s a big order of magnitude of difference of what amount of vitamin C your body needs to avoid scurvy versus what it needs to support postpartum tissue healing and repair and optimal immune health during pregnancy or optimal reference ranges. But at a high level, basically, prenatal vitamins are there to fill in the gaps in your diet. They are, unfortunately, a necessity because of our modern food system and they are especially important at a life stage like pregnancy and breastfeeding when your body will never have higher nutrient needs than it does in these life stages. It’s really, really critical that you’re getting the right nutrients. As I said earlier, it’s not just for the baby. It’s for you too. I think that a concept that we’re really passionate about is centering women in this journey because ultimately, your baby is most likely going to get what they need but you might be left depleted and that depletion can have long-term impacts. If you want to have two kids or three kids or ten kids, your body has fewer nutrient reserves to give to the next baby with each sequential baby unless you are replenishing those nutrient stores. If your family feels complete, it’s still important to supplement throughout the postpartum and a time period thereafter to support your hormone health and your thyroid health. Just general vitality and overall well-being. I think it’s super common for women to say that it took them several years to feel like themselves post-pregnancy and a lot of that can be tied back to nutrient deficiencies. Meagan: Yeah, something that you said that resonated with me is that through each pregnancy, my life became busier because I had little toddlers and newborns. You know, all of these things around. So like you were saying at the beginning, you were like, “I can get it through my food. I can get it through my food.” Yes. Food definitely is impactful but obviously, as we know, is not as great as it used to be. Not only was it not as great as it used to be, but when I was really, really busy running around…

    Full show notes at the publisher

    Episode 241 Why You Need a Doula and How to Pay for One + Kaitlin with Be Her Village Jun 28, 2023
    Show notes

    “Doulas are great. How do I get one?”‘Hope you’re rich, bye!’“Wait, now I can’t have one?”We are so happy to be joined once again by our friend, Kaitlin McGreyes with Be Her Village. Meagan and Kaitlin talk all about the benefits of doulas and what they love most about being doulas themselves. Not only that– they also talk about how to actually afford one. Every mama deserves continuous support during her labor and birth. Kaitlin has created the platform to make it a reality. Additional LinksBe Her Village WebsiteHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello you guys. It is Meagan from The VBAC Link and guess what? We have our friend, Kaitlin from Be Her Village, back. I am so excited to have you, Kaitlin. Kaitlin: I am so excited to be here, Meagan. Thank you so much for having me. I love this little friendship that has burst out of our VBAC love and our desire to get everybody their VBAC. Meagan: I know. Our passion around birth. It’s just so cool to see how people from different parts of the world can connect so deeply. I just adore you and love you and I do hope that I get to meet you one day soon in person. Kaitlin: Oh, for sure. We’re going to make that happen. Meagan: Oh my gosh. Last time we shared her VBAC story and this time we are going to be talking about doulas. So if you didn’t know, we are both doulas. Obviously, we are very passionate and heavily involved in the birth world. We are going to talk about, okay great. That’s wonderful. We know about doulas. Now what do we do? We are going to talk about that today so if you are wanting to know more about doulas, the stats around doulas, and how to pay for a doula, you want to hold on and listen to this episode. Review of the WeekBut of course, I have a Review of the Week so we are going to get into that and then we are going to talk all about wonderful doulas. This review is from txliberty92 and it was in 2020 and it says, “From Fear to Confidence.” It says, “When I found out that I was pregnant for the second time, I instantly felt so confused about how to birth this baby. I had heard so much conflicting advice about repeat cesareans and just wanted to hear the facts and hear from people who had been down this road before. I am now 36 weeks into my pregnancy and prepared and totally confident in my upcoming VBAC. I don’t know if I would ever have gotten to this point without this podcast and community.” Oh, that makes me so happy. Txliberty92, if you are still listening, because that was in 2020. That was three years ago. If you are still listening, write us at info@thevbaclink.com and tell us how things went. And hey, we want to share your story. Be Her VillageMeagan: Okay. Let’s talk about doulas. First of all, I think it’s fun to talk about why us doulas become a doula because I know that when I was in high school, I knew I loved babies. I always wanted to babysit. I always wanted to be close to a baby, holding a baby, and then through high school, I was like, “I would love to be a labor and delivery nurse,” because hello, they get to be close to babies and hold babies all of the time, right? And then I started having babies of my own and learned more. I decided that I did love the idea of becoming a labor and delivery nurse but to be honest, I hate math. That’s literally one of the reasons why I decided not to become a labor and delivery nurse because they have to do so much math. Kaitlin: There is so much math in nursing, yes. Meagan: So much math and I just hate it so much. For those listening, you guys, I actually had to take Math 1010 three times. Kaitlin: Oh my goodness. Meagan: That is how much I hate math. I hate it so bad. I suck at it. I hate remembering it and still to this day, I’ve been a doula for over 8 years and I still have a hard time. I have to Google how to calculate mpu’s every single time because I hate math. So that is something that steered me away, but the thought of being able to love and support and educate and hold space for somebody and not do the math–Kaitlin: Sign me up. Meagan: It sounded amazing. It sounded so amazing. So through my first birth, after my undesired, unplanned C-section, I definitely had more of a passion for birth, and then after my repeat and learning more about doulas, I was like, “Yeah. This is it.” I remember the fire lit inside of me that day just like, “This is what I’m going to do. I’m going to love people. I’m going to support people. I’m going to educate people and let them know what their options are.” I have loved it ever since and I am so glad to be here today. So where did your fire ignite?Kaitlin: Oh my goodness. My fire ignited from my VBAC actually. I love that your story was like, “I always knew that I wanted to work with babies and mamas.” I had no idea. I was a special ed teacher in New York City. My husband still works as a special ed teacher in the school where we met when we were 22. That was the path. It was getting out at 3:00, working with kids, and feeling good. It was not being a maternal healthcare advocate at all. It was not doula work. It was not changing the baby industry. It was just not any of that. But then I went and I had a baby. My first birth, as you can listen to on the other episode, was on a spectrum from underwhelming on some days. I would reflect that it was underwhelming and other days, it was full-blown traumatic. It really depends on where I am in my head space. But it was kind of awful and the C-section wasn’t what was awful about it. It was how people treated me. It was the powerlessness. It was being dictated to and people making decisions around me and not acknowledging me as a human being and as an adult, grown-ass woman who could make decisions about myself and my body. Meagan: We’re having another human, right? Kaitlin: Right? How dare they. How dare they disempower me so quickly and then less than two years later, I had this incredibly different VBAC experience that was transformative before the baby ever came out of me. It had nothing to do with the vaginal side of it although that was amazing and kickass and I totally recommend it. But it was really about how I went in. I researched. I decided for myself that I wanted a VBAC first off. I hired a doula. I hired a VBAC-supportive provider, a doctor actually, and I just walked into that birth powerful and in charge. I ended up having a vaginal birth which was spectacular but that was the fire in me. It was sort of, “Wait a minute. How can I have two completely opposite experiences over the past two years?” So that was where I was just like, “I think the doula was a big part of it,” because I took childbirth education. I hired midwives. I did the things I was supposed to do and the doula, having someone in the moment when you’re in that crucible where you’re just being challenged and tested and you’re in crisis, for many of us, and where you have this deep desire for your baby to be safe and for you to be safe yet you know. You know because you’re listening to The VBAC Link. You know that this system is sort of rigged against us. How do you make sense of all that? The answer for me was in my doula. I knew that I needed to become a doula so that I could help more people. I have to be totally transparent. I definitely started out with a little bit of a savior complex. I was like, “If you hire me, I can save you from trauma,” which is not true or healthy for any of us. Meagan: It was probably you coping with your trauma. Kaitlin: Absolutely. There was this idea that my doula saved me in my birth so I could save somebody else. But it’s true in that sure, we can have an incredible impact but we can’t save anybody. You can’t just hire a doula and like, “Okay, that’s it. It’s done.” You have to hire a doula and work with them and ask questions and still be very much an active participant in your care. The doula is the tool to learn how to advocate. The doula is the tool to set yourself up for success and that was why I got into it because I just thought, “Man, I have had two completely opposite experiences and I want to help more people have the second one, have the empowered one, have the voice, have built the team around myself.” So I thought, “I’m going to be a doula.” Little did I know how that would all end up but it’s just amazing. It’s the best thing there is. Meagan: Yeah, exactly. I would have never told you when I was becoming a doula, or it was nine years ago in September. Right now when we’re recording, it’s almost June. So almost nine years and I would have never said, “Oh yeah, in nine years, I’m going to have a podcast and be a VBAC advocate and educator and all of these things.” I never would have guessed that, but man. I am so grateful for this journey and where it’s led us. You know, we talked about that. Doulas are there to help you. They’re not there to rescue you. I think sometimes even I would say if I would be really honest. I was kind of like that too. I would have a client where they would be going in having these really deep goals and I was like, “I am going to make sure that happens.” I would go in and then sometimes if they didn’t happen or if births went differently or we had unexpected events or something like that, I remember going home and I remember feeling like I failed as a doula. I felt like I failed them. Kaitlin: Yeah. Oh, it’s a horrible feeling. Meagan: A really bad feeling. For your birth workers listening, it’s important to know that you are there and you love your clients but we can’t save everyone. Just like the clients that are hiring us need to know that we’re not there to save but we’re there to help educate, guide, love, and help you facilitate the things that you need along the way. It’s just an extra crutch. Kaitlin: Yeah. I feel like it’s really the work of labor and birth happens in the pregnancy. That’s why you should get your doula as early as you can because it is in your doula’s ability to help understand what your true desires are and help keep you connected to them because one of the things so many of us do and I’m speaking really about myself here too. I’m projecting my own experience. We abandon ourselves. We know what we want. We know that we want XYZ for our birth and then we sacrifice ourselves because as mothers, this is what we do. We sacrifice our time and our energy and our bodies for our babies but that gets used against us sometimes. It’s really great to have somebody dedicated to your team that can sort of continue guiding the entire experience back to you back to those original goals, back to that original desire, and reminding you of what is possible and helping you stick to that. Then if you have to shift away from it, they are helping you navigate that shift in a way that feels intentional and purposeful and that you are emotionally able to shift as well so that we avoid that feeling of, “I don’t even know what happened. I felt like I got hit by a bus and now I have a baby and I’m not sure how it happened.” We can’t control a lot of things that happen in birth and doulas can’t control them either which is a journey we go on as professionals. But we absolutely can help people navigate their births in a way that feels empowering regardless of the medical factors that end up happening. Meagan: Yeah. One of my favorite parts about being a doula is actually helping the partner along the way because I mean, obviously, Mom is the star of the show. She’s having the baby and she’s a very important person. She’s definitely the MVP in that room but guess what? So are these partners. It’s so fun like you said to circle around and help these partners feel more a part of birth as well because they sometimes have that same feeling where all of a sudden they are like, “Oh my gosh. My wife has a baby. What just happened?” So it’s so nice to help dads and birth partners feel more involved and more connected and in control in a way of their own birth experience as well because it is their birth experience too. Kaitlin: Absolutely. I would argue that doulas are more for the partners in a lot of ways than they are for the birthing person. I personally didn’t hire a doula for my first birth and I regret it. I can say pretty blatantly and bluntly that I regret it because I was afraid that it would take away the intimacy. I was afraid that it would be too many people and that I wouldn’t have this intimate with my partner but what ended up actually happening is that my partner was so panicked by this mess of labor and by his wife being in so much pain. He wasn’t of any help to me. I mean, he was as much help as he could have been. I’m not trying to attack my partner but he was really in this place of being a deer in the headlights. I was flipping out. He was a deer in the headlights. Everything was going wrong and he didn’t have the tools. He had never done it before and that’s in a birth that was very stressful. Even in a birth where you’re not in a medically-induced place, it’s still really hard to have the entirety of the responsibility of this experience to see your partner who is for the most part– this is a little stereotypical, but it’s true– the women who are giving birth are making the lists and they’re choosing the doctors. They’re setting up their doulas. They’re doing all of the things and they’re making a birth plan. They’re dotting every i and they’re crossing every t and then what happens when they go into active labor? They retreat. Their minds retreat into their bodies and then all of a sudden, they’re not communicating much of anything which can be really disorienting to a partner who feels to them that they need to keep their partner and their baby safe. This creates this feeling of alarm and can really not make the whole thing not feel good for everybody. When we have a doula that can come in for the partner and normalize the entire birthing experience whether it’s in the hospital really medicalized or at home during early labor to transfer or have a home birth, it’s so cool to have somebody who has walked this path before to be able to tell your partner, “Hey, this is all fine.” To have someone not react when you have somebody vomiting or contracting or shaking or all of these things that happen in the throes of labor, can be so relaxing. What is does is that it helps the partner then join his woman or his birthing person with intention and with this presence without all of the anxiety. It actually creates this beautiful expression of love. Not to mention, it’s so cool to have someone show you how to touch your partner. One of them when I was teaching childbirth, I remember he was half joking but he was only half joking. He was like, “I just want you to teach me how far away to stand from her,” because he was just so nervous about the whole thing. It’s like, imagine having someone come in and be like, “Hey, when she does that, just press here,” and it’s like ooh. You get to learn and have a coach that helps you take on that care. It’s the opposite of what so many of us think, myself included, was that a doula would replace my partner or get in the way. Really, what we do is help partners get more hands-on in such a helpful way. Meagan: Yeah. Exactly. My husband was really not keen on the idea of hiring a doula. He was like, “I’m not good enough? You’re going to replace me?” That’s where he snapped too. It’s like, “Whoa, whoa, whoa. It’s not like that.” But it wasn’t until we had a doula that he was like, “Whoa. Okay. I see what you do as a profession. I love this and we would never do this again without one.” So yeah. Doulas are there for you. They’re there for your birthing partner, but guess what, you guys? They have actual stats on how impactful doulas can be. That is so cool to me to think that there are stats on the profession that I do. It sounds silly. Kaitlin: It’s science. It’s science. Passionate science. It’s scie…

    Full show notes at the publisher

    Episode 240 Abby's VBAC + Choosing Your Birthing Location Jun 21, 2023
    Show notes

    Abby Inman is a pelvic floor therapist, a soon-to-be mother of four, and one of the authors of the book Baby Got VBAC: An Inspiring Collection of Wisdom for Better Births After Cesarean. Located in Milwaukee, Wisconsin, Abby is advocating for hospital policies to make pelvic floor therapy more accessible to all birthing women. As a VBAC mom herself, Abby talks with Meagan about why every woman should have a pelvic floor physical therapy consult in the hospital before going home. Abby also tells us some obvious as well as more commonly missed signs indicating that you could benefit from pelvic floor physical therapy. Additional LinksBaby Got VBAC: An Inspiring Collection of Wisdom for Better Births After CesareanAbby’s WebsiteHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello you guys. This is Meagan with The VBAC Link. I apologize that I sound a little hoarse today. I have totally caught a darn bug. I have been trying to get away from it all year not getting sick and apparently, I couldn’t get away with it. So here I am. I sound kind of froggy today but that’s okay. We’re still going to carry on. You guys, we have our friend, Abby, with us today and I’m really, really excited because I was just telling her before we started recording, she is just a big ball of everything. She’s got a lot of amazing things to talk about and share so it is such an honor, Abby, to have you on our podcast. Abby: I am so excited to be here. Meagan: Yes. Oh my gosh. I just want to talk a little bit even before we jump into the review. I don’t want to talk too much about your story because I want to give you all of the time but have you guys heard, Baby Got VBAC? Have you guys heard of that book? If you haven’t, go check our highlights or on our blog because we have it on there and it is such an incredible, uplifting book. And guess what, Abby? I don’t know if you know this. I don’t know if you were actually the one that contacted us, but forever ago, someone contacted Julie and me about being in this. We had so much going on. We were in our course and we were like, “We can’t take anything more on,” and we declined the opportunity and now we are kicking ourselves in the pants. We’re like, “Dang it. We should have been in this incredible book.” It has so many incredible people and stories and information in it. I mean, it’s amazing, right? Do you want to tell us a little bit about it?Abby: Yes. Baby Got VBAC. I don’t exactly know what is the subheader. It’s like, “A Collection of Wisdom for Better Birth After Cesarean.” Meagan: Yeah. “An Inspiring Collection of Wisdom for Better Birth After a Cesarean.” Abby: And it was the brainchild of a VBAC mom herself who is also a writer and an independent publisher, so she just got us all together, found us likely through various social media channels as things are done these days–Meagan: Yes, yes. Abby: And yeah. It’s a combination of VBAC stories from all different kinds of people as well as some awesome chapters done by various birth professionals so some birth educators, some doulas, some chiropractors, PTs–Meagan: Brittany is in it and we love it. I’ve taken her course. She’s on our podcast. She’s in it. Brittany Sharpe, yeah. Abby: Her chapter is awesome. So even though the stories are all VBAC stories, I mean really, a VBAC is the first time going through the whole process and having a successful vaginal birth so I also think it’s a great resource for first-time parents who haven’t necessarily had a Cesarean in their past as well. Of course, it’s awesome for if you’re preparing for a VBAC. Meagan: Yeah. I love that you touch on that. We talk about this on the podcast. This is a VBAC-specific podcast. We discuss vaginal birth after Cesarean, but all of us on this podcast– I’m telling you, except for maybe the providers are people who haven’t had a Cesarean, but all of us were in that spot of preparing and had these Cesareans. It is a way to learn how to avoid a Cesarean, your options for birth, your options for location, and all of that. So yes, it is VBAC-specific, but just like this book, it is for all parents that are expecting and working and wanting to learn and grow their education. I love this book. It’s amazing and it’s so fun to have you today on the podcast. Review of the WeekMeagan: Before we jump in, we have a Review of the Week so I want to hurry and review this and then I will introduce you. Abby: Sounds good. Meagan: Okay, guys. This actually came in 12 days ago via email and this is from our friend, Jessica. She says, “Hello, VBAC Link. I wanted to write about my appreciation of The VBAC Link Podcast. I had a C-section in September 2020 due to an arrest of descent. It definitely affected my postpartum mental health. When I found out about being pregnant in July 2022, I Googled VBAC resources and found your podcast. I signed up for your emails, read your blogs, your Instagram, Facebook page stories, and listened to your podcast on my morning jogs and walks. I cried. I smiled. I empathized with the moms telling their stories and more importantly, learned so much. I followed many of the tips from you and the moms. “On 3/14,” which was not that long ago from the day that I am reading this today, “I was on my morning walk listening to the last VBAC Link episode and switched to my birth music playlist. Five minutes later, I started having contractions. After getting home and calling my doula, my husband took me to the hospital and I was able to achieve my VBAC and had a baby girl. Thank you for setting up this resource. I will continue to listen to the stories even though I don’t plan on having more children. I love the stories, the information, and all of the passion for helping women like me. Thank you, Jess.” Oh my gosh. Jessica, congratulations on your VBAC, and a little part of me is so happy that we got to be a part of your birthing day. That is so awesome that you were listening to these amazing stories and went into labor. So congratulations, Jessica, and yes. Just like Jessica, you guys can too. You can VBAC too. Just like she said, we have blogs, Instagram, and Facebook. We even have a private Facebook group so if you are looking for a special space that is protected and filled with people just like you wanting to learn more about your options for birth after Cesarean, head over to Facebook and search “The VBAC Link Community,” answer the questions, and then we will get you in so you can start learning. Abby Inman, PT, DPTMeagan: Okay, Ms. Abby. Abby: That was awesome. Meagan: I know. Wasn’t that so awesome? That was such an awesome review. I got it and I just left it in the inbox unread because I’m like, “That’s going on next week’s podcast.” It was so amazing. I was like, “Oh my gosh.” And we love reviews. We love the reviews so I always encourage people. Maybe you don’t want to drop it on the podcast app. That’s fine. You can send it in an email, but we would always love a great review so that we can read it on the podcast because it makes me smile so much. So much. I remember when Julie and I were together, we would get a review and we would just be texting. Our cheeks would hurt. They would hurt because we were like, “This is what we are wanting to do. We are wanting to inspire and motivate people to find their options,” because so many people around the world feel that their options are taken away or that they are robbed of them and that is not how we ever want anyone to feel. I do feel that through this podcast, you get to learn your options and you get to take back that power that maybe once was lost. Abby: Mhmm. Meagan: So oh my gosh. Well, Abby. You guys, I tell ya. She is just a ball of it all. She is involved in pregnancy and postpartum and pelvic health, writes in a book, and teaches classes. She works in the hospital system. Abby, you’re just amazing. I’m going to turn the time over to you. You’re in Milwaukee, is that right? Wisconsin? Abby: I am. Meagan: Tell us it all. Share your story. I would love to know more about working in the hospital system and teaching birthing classes and stuff like that as well. You guys, she does this all while having little kiddos and is expecting. So seriously, good on ya girl. You’re killing it. Abby: Yeah. I like to describe my life as beautiful chaos. Meagan: I love that. Yes! Can I just take that with me and be like, “Yes. Beautiful chaos. That is what I live.” Abby: So yeah. I am a physical therapist. I specialize in pelvic health. I’ve been doing that for almost 8 years. Crazy how time goes by. Nobody at the time that I was going to PT school goes into PT school thinking they want to do the pelvic floor. People definitely do because it’s becoming more common which has been such an awesome progression in the 8 years that I’ve been doing this. But I was lucky in that I was able to do an internship in pelvic health before I graduated which again at the time was super rare. I’ve been treating, again, in pelvic health my entire career. Really now though, my specialty or even my niche is pregnancy, birth, and postpartum just because that’s the season of life that I’m in and just where my passion is drawn and where there is such a need. I could for sure argue that there’s a need for all pelvic health, but this field is growing so there are a lot of other people doing all pelvic health and there are not quite as many people focused pretty fully on pregnancy and postpartum and just that specific time. Meagan: Yeah. I was talking to a friend of mine the other day and you know how we have a six-week gap like, “Oh, you have your baby. Okay, see you in six weeks! Hope you’re doing okay.” The two things that I wish that we could fill the gap with are mental health and pelvic PT. Abby: Yeah. Meagan: Right? There’s such a gap that needs to be filled so it’s so good to hear that there’s a little bit more and that it’s starting to come around where people are focusing a little bit more on pregnancy and postpartum. Abby: Yeah. I have a lot of theories about different things related to how we get here but I just think that there is still this saying, “It takes a village,” but a lot of people really don’t have the village–Meagan: I know. Abby: I think that’s what has created the gap. You used to have your other female relatives around who would make you dinner and help you with your baby. Obviously, we just have to live in the reality and that’s why people need help and need services because that’s just not the norm anymore. Meagan: It’s not and we’re expected to just bounce back like, “Oh, you had a baby. Okay, great. Keep going as fast as you can.” That’s how it feels. We just had a mom hire us for 80 hours of postpartum and I was like, “Wow. That’s amazing that you are focusing so much on your postpartum.” She’s like, “I want continuous for 80 hours,” and we’re like, “Great,” so we made this work because her mom is from Korea. She was like, “People don’t leave their bedroom. They don’t leave their bedroom. They are with their baby and just like you said cleaning the house and making food,” but here we are. So many of our birth stories, our couples, and our parents, literally have to go back 3 weeks later to normal life or work. Abby: I know. It’s crazy. That’s not normal. It’s not how it was meant to be. Yeah. I work at a hospital-based clinic part-time and one of my projects is just now really coming to fruition. We’re still in the pilot phase but we’re already seeing really great results and an increase in referrals and again, these are people we would have otherwise not seen. The program is for a PT to see moms in the hospital before they go home, not necessarily as a rule, not as, “You can’t go home until you see the PT,” but just as a support service. We started it to be a standard or trigger a referral for anyone who has had a Cesarean and anyone who has had a third or fourth-degree perineal tear. I mean, obviously, this is The VBAC Link so we talk a lot about the birth after the Cesarean, but a Cesarean is a major abdominal surgery. Some people, of course, are expecting it and have been through it before and that obviously makes it easier a little bit because you know what is going to happen, but there’s just about no other surgical example that you can compare to the care of a Cesarean. It’s possible that you could have an appendectomy and see a PT in the hospital before you go home. Such a benign procedure is often done laparoscopically now. There is just nothing that compares to the gap in care after a Cesarean. It’s literally like, “Oh, we just cut open several layers of your body.” Again, whether you were expecting it or not, you’re also just recovering from being pregnant or if you labored at all and then having this major surgery. Oh, and you’re going to stay here for two days or three days, but now you have to take care of this other human. Meagan: Yeah. Yeah. But don’t forget to take care of yourself. Abby: But also, here’s no direction about how to do that. Meagan: Exactly, yeah. Abby: That’s slightly not fair because I don’t mean to imply that postpartum nurses–Meagan: They send you with nothing. Abby: Yeah, that they're not doing their job or taking good care of you. It’s actually that I’m making the argument that it’s why there is room for this kind of program because PTs are movement and rehab and recovery experts. That is what we do. That’s what we are trained in. All PTs graduating now are doctors in physical therapy. I have a doctorate. Just like your dentist is a doctor, I am a doctor. Like I said, it’s really an expertise in this area of care and that’s why we’re just the most well-equipped to do that. You don’t have to actually even be a pregnant or postpartum or even really pelvic health trained PT to do this work. You could be a hospital-based acute care or inpatient therapist it’s sometimes called because you really teach people the same sort of things that you would teach your other patients in the hospital like early things about scar tissue healing and scar tissue work. Meagan: Scar tissue massage. Abby: How to lay flat in bed because guess what? You’re going to have to lay flat in bed when you go home but sometimes they don’t even do that. Meagan: And then how to get up. Abby: That’s right. For sure how to get up, how to hold your baby when you walk, if you’re having pain, how to go upstairs. Again, if that’s painful, what to do? Just really practical things that people are going to have to do after they are discharged from the hospital and go home. I just think it is invaluable. Obviously too then part of our program is to at least get the scheduled for outpatient pelvic PT as well to make that transition really seamless. So yeah, it’s been really cool. So far, it’s going well. Meagan: That’s awesome. So awesome. I hope that all around the world, a program like this can be implemented as a standard, just as a standard thing because like you said, it’s invaluable. I also want to say that my nurse and my doc sent me home with a paper that was like, “Keep your wound this. Keep your wound that,” with wound care and instructions like, “Don’t lift more than 10 pounds,” and stuff like that. That is so wonderful but no one told me about the things I was going to feel or even encouraged walking. Abby: Or breathing. How to breathe.Meagan: Or breathing. It wasn’t encouraged. Yeah, get up and go to the bathroom, but it wasn’t like, “Get up and move as much as you can within a certain range and that’s going to help recovery and breathing and scar massage.” Never. Not once in either of my C-sections did anyone ever talk about the adhesions that could happen and the scar mobilization and things like that. That is where it lacks. We just lack so much so I would love to see programs like this happening all over the world. So if you are listening and you are in the medical world, this is something that you…

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    Episode 239 Sarah From Made Mindful + Preparing For Birth Jun 14, 2023
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    “Labor is an event of the mind, the body, and the soul. We have to make sure that we are preparing in each of those elements so that we can then know at the end of the day that we are true to ourselves.”Sarah, one of the founders of Birth Made Mindful, joins Meagan on the podcast today to talk about how to mindfully approach motherhood in the way that is best for you, your body, your baby, and your family. She also shares her Cesarean and two VBAC stories!Sarah and her sisters created the Made Mindful platform to help women find their own innate power from within. All VBAC Link listeners will receive 30% off any of their courses by using the code “vbaclink” at checkout on www.birthmademindful.com.Additional LinksBirth Made Mindful WebsiteSarah’s YouTubeSarah’s TikTokHow to VBAC: The Ultimate Prep Course for ParentsReceive 20% off on Needed Products The VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hey mommas have you ever looked at the back of your prenatal vitamin and wondered if you are truly getting everything you need? I know I didn't when I was pregnant. Well today I wanted to share with you the #1 prenatal I suggest to all my doula clients, friends, family, and YOU women of strength. It's by a company called Needed. I honestly don't think I was the only one that didn't really understand just how important certain nutrients were for myself or or my growing baby. And that is why i love needed. They have gone above and beyond to create solid products not only that have the key nutrients but also have the optimal amount. Don't be overwhelmed picking a prenatal. Check out all Needes products, including their prenatals, pre/pro biotics, immune support and more at thisisneeded.com enjoy 20% off by using code VBAC20Meagan: Hello, hello Women of Strength. It is Wednesday and we have another great episode for you. Normally we have VBAC stories, but today we are going to be chatting about a lot of topics actually. We have our friend, Sarah. She is actually a VBAC mom and she has been on the podcast before so welcome, Sarah. Sarah: Thank you so much for having me today. Meagan: Thank you. Thank you. I’m so excited to have this discussion and this episode because it’s something that truly we need to remember. I love sharing all of the VBAC stories of course. That’s what this podcast is about, but it’s also really good to get education and empowerment through other episodes. Review of the WeekWe are going to get into this episode after I share the Review of the Week. I’m going to tell you a little bit more about our friend, Sarah. This review is by spicyhotcurrie. I love that name. That’s fun. It says, “The best education for all pregnant mamas.” I just love that so much because really, I mean, Sarah would you agree? At this podcast, we obviously talk about VBAC stories and how to empower people to make the best choices after Cesareans, but this really could be a podcast for all pregnant moms. Wouldn’t you agree?Sarah: Absolutely. Meagan: Yes. We share so many tips. It’s something that I wish I had when I was pregnant and preparing for my VBAC. Even if I didn’t know if I wanted a VBAC, this would be a great podcast to listen to and see what options were out there and then even what led to Cesareans so I could learn how to avoid them. I love that topic. She says, “After one unmedicated hospital birth and one medicated hospital birth, my third birth ended in a physically and emotionally traumatic emergency Cesarean. The VBAC Link Podcast started soon after. I listened to them for over a year before getting pregnant. This podcast has made me laugh and cry and given me so much knowledge I didn’t have even after three births and working in the postpartum unit at the hospital. This podcast has made me so excited for my VBAC in November. Thank you, Julie and Meagan.”This was back in 2020 so spicyhotcurrie, if you have your story to share, I would love to know. Contact us at info@thevbaclink.com. If you haven’t left a review yet, we would love your review always anywhere you want to leave a review– Apple Podcasts, Google, or you can email us. Wherever it may be, we would love your review. Sarah From Made MindfulMeagan: Okay, Sarah. Welcome. Sarah: I’m just giddy to talk to you about birth today. Meagan: I am giddy to have you here to talk about birth. I don’t want to share your story. I want to let you share your story, but I do want to tell everybody who you are. You are an amazing person, an amazing individual, and you’re a mom of course. Of course, you’re a mama of three now. Sarah: Three boys. Meagan: Yes, a boy mama. You’re a birth coach, an educational coach, a doula as well which you guys, I’m just going to point out that Utah is amazing. I’m just saying that if you’re in Utah and you’re listening, you’re spoiled. We’ve got some good doulas here. Let’s see what else. You’re the founder of Made Mindful, right?Sarah: That’s right. Meagan: Made Mindful. Okay. Tell us more. Tell us more about that. Sarah: Made Mindful came out of all of our experiences, me and my two sisters, with the different births that we have experienced together. Meagan: It’s Carly–Sarah: Carly and Christina. Meagan: Christina, yes. Carly and Christina. Sarah: That’s right. Meagan: I love that you’re all sisters. That’s so cool.Sarah: We have our website, Birth Made Mindful. We want to encourage women and families to empower themselves with education, positivity, and most importantly, just believe that they have the strength within themselves to create the birth of their dreams. Meagan: Absolutely. I love that. It’s so hard sometimes because it’s so overwhelming. There’s so much going on and we’re getting so many opinions coming from all of the other places to know and you hear things like, “I wanted to do that but my body couldn’t and this but I couldn’t, and this but I couldn’t,” so then we start doubting ourselves like, “Can I? Can I do that? Is that possible?” Don’t you feel like that is happening all over the place?Sarah: It is. It’s just an overwhelming amount of information that we have to sort through. I think that also adds confusion. When we can look inside ourselves, we can find out really what matters most important to our families and to us as mothers and blossoming mothers if we are first-timers. Knowing what our options are, knowing some of the medical events that could take place with birth, and then being able to be in tune with ourselves and our bodies to know how to proceed. Meagan: Absolutely. You have experienced very different experiences. Do you want to share just a little bit more about your experiences and what truly led you here?Sarah: I would love to. My first son was five years ago, his birth. My water broke prematurely. I wasn’t in labor. After about 40 hours at the hospital, we had a Cesarean section. It wasn’t an emergency at that time, but he was sunny-side up so I just wasn’t having meaningful dilation. His Cesarean was necessary, but after that experience, I started looking back and just thinking, “I want to have a vaginal birth for my next birth.” I just didn’t want to be in pain and have the recovery and some of the problems that stem from abdominal surgery right after birth. So I prepared a lot. I listened to your podcast. I just researched as much as I could when I was pregnant with my second son. It was right around COVID. His due date was March 20th, 2020 so about three days before his due date, my obstetrician let me know that she could no longer support me in a vaginal delivery. Meagan: Did she tell you why?Sarah: I share that entire story in Episode 132 so if you haven’t had a chance to listen, it was just a remarkable story. I think it was mainly because of COVID. The hospital had updated their policies that all of the women in the queue for delivery that week and that month would either need to have an early induction or a repeat C-section and that they weren’t going to be able to support VBACs. But because I armed myself with knowledge, I had gotten myself a doula, I just felt like that wasn’t the route I wanted to go. I wanted to allow my body at least the chance for my first VBAC. I know that a lot of women even after having multiple Cesareans will attempt a VBAC but your chances of getting support in the medical system are a lot stronger the first time. So I knew that this was my window. I was actually able to find a midwife who took me on. This is just a couple of days before he is born. I ended up having a beautiful, redemptive VBAC at a birthing center. It wasn’t short labor. He was actually also in a sunny-side-up position so it was about 30 hours. My wonderful, supportive midwife confirmed, “If you would have been in a hospital, they would have done another C-section in the amount of time it took you to dilate again with being sunny-side up and all of those twists and turns of our labor.” But we did have a VBAC and it was amazing. The feelings, the emotions, all of the energy that I felt, I literally wasn’t tired for three days after his birth because all of those chemicals were appropriately working within my body. I was able to breastfeed and latch in a much easier way with that child so I knew that I wanted to start sharing my story and offer encouragement to other women. So in between his birth and then the birth of my next son which was about two years later is when my sisters and I put our knowledge together and created digital courses. We created affirmation cards and just decided that we were going to try to start sharing our message with all of our sisters and our community so that they could have great experiences in their birth. Meagan: Yeah. Sarah: For my third son, we actually delivered with that same midwife but I opted for a home birth. The reason why I wanted to have him at home was mainly because of tracking contractions. There’s always that question, “When do I go to the hospital? Am I too early? Am I too late?” If you show up and you’re only 3 or 4 centimeters dilated, are you then a burden on your medical staff? And they’re starting the clock if you’re in the hospital. So I thought, “I wonder if I was just at home if my body would relax enough that there wouldn’t be any halting from my body.” I just said, “It doesn’t matter how long it takes. I’m prepared to labor as long as this baby needs.” I also had made peace with the fact that if we needed to transfer to a hospital, I would not feel like a failure. I would approach that with the understanding that I was going to the hospital and utilizing the tools and the help that I might need if we did need a transfer because a lot of people are afraid of what a home birth means if there’s a transfer. Most of the time, it’s not an emergency if there’s a transfer that’s needed. Meagan: Yeah. Really, most of the time it’s due to a hangup and there are resources at a hospital that aren’t at home anymore. We’ve exhausted our resources. Maybe there is a little bit of Pitocin that is needed. I say needed, but it is something that could help and they’ve exhausted breast stimulation with the breast pump or maybe it’s been a really, really long labor and we’re just tired, and that epidural is something that really can help to actually have that final outcome that we were looking for. It’s just going to be in a different place. But it’s rarely an emergency and it’s okay. It is okay to transfer. It’s okay to make that choice. No failing or giving up. They don’t go together. There’s no failing. Sarah: Exactly. Meagan: Just because there’s a change of plans doesn’t mean there is failure involved. Sarah: Yeah. That terminology is so tricky when people consider a transfer from your home as a failure but most women just choose to transfer to the hospital before they plan to push their baby out. So his birth was remarkable. It was a few days after his due date again. I had started feeling a little bit anxious about when he would come. I decided that I needed to release all of that. I went swimming and I just told him, “I know that you’re safe, but I also want you to come as soon as you’re ready.” My labor started that night. I could sense that the contractions were ramping up, but I wanted to rest as much as possible. I didn’t want to have the mindset that I needed to walk around or be upright because with my prior births, it had taken me a full day and I didn’t want to feel exhausted myself. So at about 1:00 in the morning, I went into the guest room so I wasn’t waking up my husband and I just tried to sleep in between my contractions and it was successful. I was able to listen to some meditations and to find that quiet comfort within my bed. With sunrise, the contractions started ramping up and after about one hour of steady contractions, I thought, “It’s time to wake up my husband. It’s time to let him know that things might be started.” So after observing me for a few minutes, he decided that we should call the midwife right there. I definitely didn’t think that I was ready because I had really only been in what I would consider active labor for an hour, but when our midwife came to my home, I was 8 centimeters dilated and they were ready to fill up the birth pool and have me hope right in. It was just peaceful and quiet. My midwife and her team almost seemed like they were just working in synchrony in the background. There wasn’t any coaching. There wasn’t any interruption to what I was experiencing and having my husband and I there. We did send our toddlers off to Grandma’s house so that we could just have the house to ourselves. But it was amazing. I got in the birth tub and my water broke probably 20 minutes after that. And then after about 20 minutes of pushing, I was able to deliver him and just have that same concoction of hormones that just make you feel so elated, so happy, so grateful for your baby being born that immediately, any of those feelings of pain that come with pushing have gone and just being able to snuggle him there in my own home and be tucked in our own bed just minutes after. I felt like a home birth really was the birth of my dreams. I felt like a queen and it is what made me want to help encourage women to create the environment that they want so that they know that they are the leader of their birth. Yes. Oh, I love it. I love it. I love it.Meagan: I want to take a quick moment to hear about our partner Needed. The leading women's health supplement brand recommend by nutritionally trained practitioners. Needed was founded by two incredible mommas who were navigating their fertility journey. They were shocked to realize that 97% of women take prenatal vitamins, yet 95% of us are nutrient deficient. Is that not eye opening or what? Getting the right prenatal vitamin is super important. So how do we know what one is best. While most perinatal supplements include the bare minimum of the nutrients women and babies need, Needed has all of your needs covered from your prenatal vitamin, to pregnancy specific pre/pro biotic, immune lactation and nausea support, as well as supplements that help us with our protein needs, balancing our blood sugar, and helps with postpartum healing. Needed's Complete Plan delivers unparallel nourishment for every phase. Weather you are thinking of conceiving, pregnant, postpartum, or deeper into your mommy years like me, these supplements are amazing. I take the prenatal collagen protein every single day, and absolutely love it. Learn more about Neededs complete line of perinatal and women's health suppliants at thisisneeded.com use code VBAC20 for 20% off that is V-B-A-C-20 at thisisneeded.comMeagan: I really do love it. I really, really do. It’s just so amazing. And it connects with me so well because of the same thing. After my second Cesarean, I learned more about doulas. The doula work just called to me. I was like, “This is what I want to do. I want to help people know that they can have different experienc…

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    Episode 238 Kaitlyn's Viral Hospital Birth + What You Need to Know Jun 07, 2023
    Show notes

    A few months ago we posted a video clip from Kaitlyn’s birth taken by Danielle Wilstead at Wild Oak Birth Photography and it went viral! We have Kaitlyn and Danielle with us on the podcast today sharing the backstory behind her inspiring video. In the video, a nurse is asking questions incessantly and Kaitlyn is advocating for herself while literally pushing out her baby! Kaitlyn shares the power of trusting that your body will tell you what it needs and listening to it when it does so. Additional LinksKaitlyn’s Photography WebsiteDanielle’s Photography WebsiteEmma’s Birth StoryHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello everybody. Guys, this is Meagan with The VBAC Link and we have such a fun episode for you today. It’s actually not a VBAC mom. I’m just going to put that flag right out there right now. She is a mama. I’m sure you will recall if you are following us on social media that went viral after her birth photographer posted a very incredible little snippet of a story of her birth. We posted it back in February and we will probably post it today. If you have not seen it, definitely go today to go watch this video. Her birth photographer, Danielle at Wild Oak, posted this video and it immediately gave me chills. Immediately. I want to say that she is not a VBAC mom but the episode today is going to be sharing her story and then also sharing more about how to really truly advocate for yourself and even make decisions that might be hard or sound weird to someone else. This mama has a history where she actually birthed out of the hospital and then with this baby, she birthed in the hospital. A lot of people would be like, “What? Why would you go back?” so we are going to talk a little bit about that. I want to welcome Kaitlyn and Danielle to the episode today. Ladies, thank you. Danielle: Thank you for having us.Kaitlyn: Mhmm, thank you. Emma and I are here together. Hello. Review of the WeekMeagan: I love when babies are on the episode. I love it, love it, love it. Okay, so before we get into the story, I do want to turn the time over to Danielle because she is so gracious and going to read a Review of the Week. Danielle: Yes, okay. So this review came in from Apple Podcasts and this is from kim_md44 and they titled this, “When a Podcast Gives You a Transformative Experience.” The review says, “It’s hard for me to put into words how much this podcast has meant to me the last four months. I discovered this podcast during my second pregnancy when I was prepping for a TOLAC and wanted so desperately for a VBAC. Like many other listeners, my first birth was traumatic and ended in a C-section. One of the biggest hurdles I had to overcome was the mental gymnastics of getting over that trauma and truly believing my body was capable of birthing a baby vaginally. “This podcast did wonders in that journey. Hearing so many other women sharing experiences similar to mine not only helped me feel so validated, but it gave me so much hope for the future. This podcast gave me a community, my people. It gave me resources to help me advocate for myself and well, it paid off. I got my VBAC. On October 5, 2021, I had a beautiful, healing birth experience where I was able to birth my daughter vaginally. I did it.“So to the provider who told me that my pelvis was too small to birth my baby, who told me that this baby would have to be significantly smaller than my first to even think about attempting a VBAC, my second-born was a whopping pound heavier than my first and I pushed her out of my vagina. I did it.”So powerful. Meagan: That just gave me the chills. Danielle: Yes. All of the chills. All of the chills. Meagan: Yes. Such an empowering message and review. Thank you so much for that review. Just like she did, you can too. You can too. It’s hard to sometimes imagine it being possible, but it is possible. So thank you so much for that review. Kaitlyn’s StoriesMeagan: Okay, beautiful ladies. I have been looking forward to this. I texted Danielle. Obviously, it was going viral within seconds but I actually saw it from someone else’s page. Of course, I recognize Wild Oak Birth so I was like, “Oh my gosh, this is from Danielle,” so I went over to your page and watched it 50 other times. I was trying to reshare this because this is such an empowering video. This is so amazing and then I had to text you. I texted you and I was like, “Holy cow,” and then I was just thinking about it and I was like, “Hey, this is such a great message that we can share with our listeners,” because as TOLAC mamas, as VBAC mamas, it can be really hard to be in a situation where you have people constantly saying, “Well, you could do this but you don’t want to,” or “You don’t want to do this,” very similar to Kaitlyn’s, “Well, you don’t want to birth like this.” Well, why don’t I want to birth like this? We’re being told how and what to do. It’s very hard, very hard in the medical system to advocate for ourselves and say, “No, actually I don’t really want to do this.” Anyway, so I want to turn the time over to Kaitlyn and Danielle if you have anything to say. But really, if you want to share this story because I know that we’ve only seen this tiny bit of this story so can you tell us a little bit about your journey and how it came about? I know that Danielle posted that you did choose to birth in the hospital after out of the hospital so maybe talk about the decision to do that because decisions in this VBAC world and in birth in general can really be hard to make but they can truly impact the way our birth has the outcome. So I would love to turn the time over to you. Kaitlyn: Thank you. Yeah, it was wild seeing that little two-minute snippet of a very precipitous birth– I will not lie. That was precipitous. Danielle: Very fast. Kaitlyn: Very intense, but just that last little bit go everywhere around the world honestly. I’ve had a lot of beautiful, beautiful messages from people reaching out just sharing that they were terrified about birth and now they feel a little bit of hope and a little bit of peace. That’s, I think, I hope that your listeners will be able to get out of listening and hearing this story and my experiences and my feelings because it’s that hope that everybody needs. Yes. You can make good decisions. Yes, they are hard and yes, things can be beautiful regardless of what happens. So yeah. It was a very big experience. This is my third. Emma is our third and my first was a hospital induction. Like many, it was more on the traumatic side. I had an OB who was not super supportive. They were like, “Why would you not have an epidural? That’s dumb.” So not a good fit. With my second, I had a birth center down the street from us in Colorado. That was a water birth and so healing. The midwives gave me over and over and over again the opportunity to decide for myself like, “Okay, here’s this option. What do you want to do? Here’s what we understand. What do you want to do? Do you want to do your GBS swab?” “Yes, I do. Thank you.” They were providing that kind of care which I loved and as a birth worker myself, I love. Families deserve that kind of shared decision-making all over the board. We moved again and got pregnant. This was the one that we weren’t expecting. We have three December babies now, three December girls so March is very fertile apparently. That was exciting but I wasn’t ready to be pregnant yet. The only person I knew I wanted to be on my birth team was Danielle. I was like, “Danielle, I’m pregnant. I’m due a few days before Christmas. Please come.” She was like, “Okay, I’ll think about it.”Danielle: I remember it being so close to Christmas. It is a hard decision but I’m like, “This is Kaitlyn. It’s Kaitlyn. I have to be there. I’m going to make it work.” Kaitlyn: I was so grateful for that because honestly, I don’t know who else would have come flying. But then it was like, “Okay, great. I have Danielle. Who else?” So yeah. For me, again that shared decision-making is really important to me but I felt really torn between my second and my third. I think I just got a little bit clearer on, these are the exact risks in the hospital and out of the hospital. They are pretty matched. Like, oh okay. There’s no set risk like, “This midwife will have this much risk.” I attended some births where some midwives out of the hospital didn’t transfer fast enough. That was partly the family’s preference as well, but just like, “Oh, this is what I’m comfortable with and it’s not quite this.” I interviewed a bunch of midwives and actually switched care temporarily and it just didn’t feel right. It didn’t sit right to be out of the hospital. I was like, “Okay, we’re going to have a home birth.” My oldest was stoked. It was like, “Great. We’re going to have the birth tub and I’ll be there for you.” It was super sweet but it didn’t feel right. I remember working with my therapist and writing a pros and cons list for both in and out of the hospital then being like, “Okay, how do I feel about this? How do I feel about this?”I was able to think through and process, “Okay. This is my bucket of fears and the pros in a hospital birth with this midwife, and here’s my bucket of fears and my bucket of pros in this home birth midwife group,” that I was looking at. I just felt, “Okay. Nope. I’m going to pick the hospital bucket.” That felt a little wild to me. I definitely got in my head a lot about, “Okay. I’m a birth worker and who’s going to judge me for doing this? Will people think that I’m making the right decision?” Meagan: Which can I just add that it makes my heart hurt a little bit that anybody let alone a birth worker has to– not doesn’t have to but it happens because I did the same thing when I was preparing for my VBAC after two Cesarean birth. It was like, “Oh, who’s going to think this? What are people going to say about my decision to do this?” to the point where I didn’t even feel like I could share it. I didn’t feel like I could tell anybody. I had just a select few people who knew my plan but I was scared to share it. It’s hard because the biggest thing that matters is that it felt right for you. That’s what matters. Kaitlyn: Yeah. That was interesting and good for me. I have a fantastic therapist so we talked about this at length like, “Okay. Why do you feel that this is important?” You are right. And just trying to pull that back and pull back that power of decision-making and coming back to myself.Meagan: Yeah. Good for you. Good for you. Kaitlyn: That was big and lots of work and lots of talking with my husband as well like, “This is how I feel. This group of people says that this is the right decision and this group of people says that that’s dumb and stupid and you should go with this decision. I can’t please both groups so I feel so torn.” But yeah. I think that it felt good and I knew that my hospital midwife was going to support me. I had literally brought– so the next thing I did was that I went through and my therapist was like, “Okay, let’s acknowledge all of the trauma points from your first birth in the hospital and why this feels so scary because we can work on this. We can make this feel less scary.” That was really helpful because I literally made a list that I sent to Danielle. I was like, “These are points that are trauma points. This is how I can address those per se.” I brought that list to my midwife and was like, “Okay, let me tell you that these were the moments from my first in-hospital birth that was traumatic for me that I don’t want to happen again. These are the points that I would appreciate and why these points in my birth plan are meaningful to me.” That was an awesome realization. I felt so much better like, “Okay. I know my provider is on my side. I’m not hiding anything from her. She’s not hiding anything from me. I trust her and I trust her to take care of me if whatever happens.” That was the foundation that I needed. I needed it to be there. Meagan: I’m sure it solidified, “Okay. Yep. Definitely right. This is definitely right.” Kaitlyn: Yeah. Meagan: Which is such a great feeling to have. Kaitlyn: Mhmm, it is. I remember at my 40-week appointment, me getting all nervous over here because my last 40-week appointment with an in-hospital person was like, “All right. Let’s schedule your induction.” She was like, “No, we’re not going to talk about it. We’ll talk about it when we need to. Everything is going to be just fine, Kaitlyn. Trust.” She told me about a client of hers that had birthed beautifully next to the bed. She was like, “That was such a beautiful birth.” It restored my hope in birth. Meagan: It’s like she was projecting your fate. Kaitlyn: Yeah, that was kind of funny. Yeah. I walked out of that appointment being like, “Okay. I trust. I trust. I trust. This is going to be okay. I trust myself. This is the right decision. Let’s move.” So the day after my due date, we went in. I just wanted some data. I was like, “Okay. Let’s check. Let’s see where we are at.” I was 3 centimeters. I was like, “Okay, that’s good. Whatever.” Danielle and my team were like, “Woo! 3 centimeters!” I was like, “Sure, thanks.” But then I decided to do a stretch and sweep. You just have to be where it’s like, “Okay, that’s right. This is mindfulness. That’s how I’m paying attention to sensations. This is what pushing feels like. It’s pressure on the vaginal wall.” Yeah. The rest of the day, I got some cramps and bloody show out of that. It was midnight. I think I texted everybody. I was like, “All right. These are solid contractions. They’re punchy. I don’t feel like I need support yet, but FYI, things are starting to move.” My husband woke up. I made myself some eggs. Great. It’s my birth tradition that I have eggs in my early labor mostly because in my first birth, I was like, “I want eggs,” and they were like, “Sorry. You can’t have them.” Meagan: Hey, listen. Eggs are good protein and fat. That’s power food right there but I love it. Kaitlyn: That’s what I was craving. Meagan: It’s all in spite of you telling me that I cannot have these. I will eat these with every baby.Kaitlyn: I will eat my eggs and I will enjoy them. Yes, and I do. So yeah. I woke up and I made myself eggs. I walked around the house. My husband woke up and was like, “Oh, are we moving? Okay. Let’s do this.” Then we were like, “Okay, this is early birth where you pack yourselves and finish wrapping presents.” And then all my birth team was like, “Yeah, these were consistent minute long, 3-5 minutes together contractions. We’re coming.” I was like, “Okay, that sounds good but I don’t feel like I need support yet so no rush.” Then Danielle started driving and then I texted her and was like, “Nope, never mind. They stopped.” So Danielle turned around and they just stopped so I went to bed at about 3:00 AM and yeah. I’m not sure why it stopped but it did so I got more sleep. I woke up the next morning and there was nothing happening. I was like, “Oh, okay. I still don’t feel l like I’m going to be pregnant much longer so let’s move.” I scheduled an induction massage with one of our fantastic people up here. He is awesome. I sent my girlies off to play with grandma and got some alone time with my husband, some cervix ripening. So yeah. I remember getting to my prenatal massage at 12:30 PM. I got there, walked up the stairs, and felt, “Ooh. That is a solid contraction wave. Maybe we’re not going to make it to sushi,” because that was our plan. We were going to get a massage and go to sushi. We never made it to sushi. Danielle: Nope. Kaitlyn: I remember walking in and Eva asking, “Okay, are you having any contractions?” I was like, “I think a few, yeah.” By the end of that massage, 80-90 minutes later, I remember I was in full-blown active labor at that point. I remember thinking and realizing, “Oh.” Eva’s a birth doula as well so she was…

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    Episode 237 Morgan's Surprise HBAC + AFI May 31, 2023
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    Today we are joined by a truly amazing woman of strength, Morgan. She recently retired after 25 years of active duty service in the Coast Guard and is a mama to two boys and one girl, each with their own very unique birth stories. Morgan’s first baby was born vaginally. Her second was a lifesaving crash Cesarean. Her third was a surprise HBAC born en caul! The high of this empowering birth carried her through a difficult postbirth hospital experience in which she almost lost her uterus. Meagan and Morgan share facts and insight regarding the amniotic fluid index. Morgan also gives tips on how to have necessary conversations with your provider to advocate for the birth experience you deserve.Additional LinksBridget’s Website (Morgan’s Doula)How to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello. Happy Wednesday, women of strength. We are bringing another story to you. You are listening to The VBAC Link and we have our friend, Morgan, here today sharing her stories. I’m really excited because just before we started recording, we talked about how Morgan said that she is a numbers girl. She’s like, “I love numbers.” It’s something that I love too but never have ever retained as well as Julie did. I’d be like, “Okay, I’m trying to remember. Is it this or that?” and she’d be like, “It’s this.” I remember names and stuff like that and she remembers numbers. That has been something that I have really missed without Julie being here so I’m excited to talk about numbers with you today, Morgan. We’re going to talk specifically maybe about amniotic fluid and percentages and things like that. But yeah. I’m excited to get into some numbers. If you’re looking for some numbers on the chances of VBAC, we’re going to talk about amniotic fluid. What really is a scary number and when do we really need to induce a labor? Stay tuned. Review of the WeekOf course, we have a Review of the Week so before I turn the time over to Morgan, we will read Britjl14. That is their review today. The subject is “Tears of Joy.” It says, “I literally got teary-eyed when I saw that your podcast was coming back. You gave me the courage to have my VBAC after two Cesarean baby, 9 pounds, 15 ounces, in late August. Such an uplifting and informative podcast. I tell everyone who mentions wanting a VBAC to look this up. So excited for more to come.” I love that. You guys, when we decided to bring the podcast back, it was so exciting for us too. So, so exciting. It was so fun to get all of the emails and the messages on Instagram saying, “Ahh! We’ve been waiting!” because we took a 10-month break. A 10-month break. That’s what we needed to do for our personal lives but we are so happy. I am so happy to be back. I definitely miss Julie every time that I’m recording, but I’m really so happy to be back and so honored to be a part of all of these beautiful stories because really, I wish I had this when I was preparing for my VBAC. I really do. I go back. This probably sounds silly because I’m recording the stories and I’m hearing the stories but then every week, I go in and I listen to the stories because I am learning things after recording and hearing them the first time, a second time. I’m learning things about births and certain procedures so it’s always a learning experience even for me who “specializes in VBAC” so it’s really, really fun. So yeah. Thank you so much for your review. Remember, if you have not had a chance to leave us a review, we love them. We always, always read them and add them to our queue to read them on a podcast. Morgan’s StoriesMeagan: Okay, Morgan. Hello. Morgan: Hi, hi. Thanks for having me. Meagan: Hi. Thanks for being here. Thanks so much for being here all the way from Alaska. Morgan: Yes, yes. Juneau. Meagan: Awesome. So awesome. Well, I’d love to turn the time over to you to share your story. I guess it was actually your second birth story technically?Morgan: My third. My third, yeah. My second was a C-section.Meagan: Yeah, sorry. That’s what I am talking about, your C-section. Your second birth story, I also want to talk about because it was a very valid Cesarean. Morgan: It was. Yeah. Meagan: I want to talk about that too because we can come across as so negative with Cesarean because it’s a VBAC podcast and we’re sharing a Cesarean story that led to a VBAC but a lot of the times, the Cesareans were negative or unneeded or undesired or unplanned, so sometimes it can come across that we are talking badly about Cesareans but I want to point out today with Morgan’s story especially that it was very, very needed. We are so grateful for Cesareans too. Even though we are a pro-VBAC podcast, we are not anti-doc and anti-Cesarean. That is for sure. I will let you share your story but I just want to talk about that because sometimes I think it can be like, “Wow. This podcast hates Cesareans,” and that’s not the case. That’s not the case at all. Morgan: Yeah, so I have three kids now and my first was a vaginal birth. It was mostly pretty well sought out and went through as expected. I was 41+5 and everything went pretty well. I did have some retained placenta at the end so I had to go back in for a D&C at six weeks postpartum because we hadn’t caught that before. My second pregnancy was a really good pregnancy. I was healthy. I was working. Everything was going as expected except my son, Cooper, was transverse. He would not budge. I tried so many things to have him budge. I was doing Spinning Babies. I went to the chiropractor. I could not find an acupuncturist where I was that I trusted and was ready to go to, but we tried so many things to get him to turn and it wouldn’t work. Toward the end, my doctor and I discussed doing a version. To me, we had discussed the risks of it were having a C-section at the end, but that’s what we were going in and trying to avoid anyways so the risks weren’t bothering me at that point so we did end up trying a version. It worked. It was very exciting, but then he turned back. I was like, “Oh no!” It was devastating. It was so devastating. Meagan: Oh, that would be hard. Morgan: That was one version and he turned back. So the doctor had said, “Man.” She was right with me on my birth plan too. She was there. She was ready to go. She said, “Well, let’s try another one.” I was like, “Okay. Let’s do it.” I went through it. I got through the first one. It was uncomfortable but we did it. So the second one, we tried another one, and sure enough, he turned. We were like, “Yes! We’ve just got to keep him there.” I was standing up all day. I wasn’t going to move. He was going to stay in. He turned back. I felt him turn back. I was like, “Ugh.” A second successful version that then turned back. After that, we were coming up on our due date and I was just so adamant about wanting a vaginal birth at that point that I said, “You know what? Why don’t we try a third version and we’ll just induce right after that? Maybe I won’t get my unmedicated birth but I’ll still have a vaginal delivery,” which for me was important because I wanted to be able to breastfeed without any concerns. So we tried. We tried a third version. It was on my due date. We were in the hospital. We were ready to induce afterward. My doula was on call. We were going to call her in after I started laboring. In the middle of the version, we lost his heartbeat. She had me connected with an ultrasound the whole time. She’s doing the version and there’s a nurse that’s doing the ultrasound and all of a sudden, we had no heartbeat. She said, “Maybe it’s just where we are. Let’s move a little bit and see.” I turned and I moved. We tried to find the heartbeat again and we couldn’t find it. She said, “Just give me a second.” She walked out of the room. I was all the way in the back of the labor and delivery unit at that point. She walked out of the room so calmly. She went into the hallway and yelled, “We need help in here!!!”Meagan: Whoa. Morgan: I was like, “Whoa.” I was not expecting that. What went from calm right in front of me went to a massive emergency in a hallway. All of the nurses descended and the bed got moving. We went into the operating room and it took 20 minutes because I didn’t have an IV or anything connected to me at the time. So 20 minutes later–Meagan: So you were under general anesthesia? They didn’t put you under general?Morgan: They did not. No, I saw it. I saw the whole thing. I mean, they had the cover up but there are so many reflective units and metal everywhere that I could actually see what was happening which was fine. I don’t mind that. But yeah. They pulled him out 20 minutes later. He was not breathing. No breathing, no heartbeat, or anything. They had to do CPR. Meagan: Scary. Morgan: They got him back. The nurses got him back which is just amazing. He was rushed to a NICU at another hospital, the highest level NICU. I think it’s a 4. Meagan: Yeah, mhmm. Morgan: Yeah, so he went to a children’s hospital where there was a massive NICU. He’s good. Friday is his birthday and he’ll be 8. He’s just an amazing little kid.Meagan: So amazing. Morgan: So I’m very, very grateful for that C-section. Meagan: How was that for you? How was recovery for you? Morgan: Recovery was fine. There were no unexpected occurrences. We knew it was going to take a little longer. I knew not to work. The thing that was hard was, well first, breastfeeding because I had so much IV fluid in me. Meagan: I was going to ask. Morgan: Yeah. I got really nervous because I was pumping. He was at a different hospital. After two or three days, I saw my levels go down drastically and I was like, “What is this?” What happened was that the IV fluids had left my system so it was just my natural breastfeeding amount. I was not expecting that drastic change. But once we figured out what that was, that was good. The second thing that was hard was his being in a NICU. Once I was discharged from the hospital, my husband was driving back and forth from the home to the hospital. Luckily we were close enough, but I could only sit. I couldn’t lay in that NICU. I couldn’t lie so there was a little bit of pain there. Once we were ready to get him breastfeeding, we didn’t have a room for us. He was still in the NICU so I was sleeping outside in the guest area, like the waiting room along with other families that were going through things like their kids in cancer and stuff and there was nowhere for the parents to stay so we were all making tents in the waiting room. So that was a little hard for that recovery. Meagan: That is hard. That is really hard. Morgan: Yeah. That part was stressful but once we were all home, it was good. It was good. Meagan: How long was he in the NICU?Morgan: He was there for 11 days. They were worried about brain damage so it was a hypothermic treatment that they put him on. Meagan: Did they put him in a cooler?Morgan: Yep, mhmm. Meagan: Yeah. Well, so grateful that all is well. There must have been something. It’s so hard because my baby kept going breech. My midwife would flip him and then boom, back breech. Flip him, and then boom. Back breech. It was the same thing. I’d feel him and I’m like, “What the heck?” She finally was like, “We have to trust him. There’s a reason. We don’t know why. We don’t understand it, but we have to trust him.” It’s so hard. It’s so hard. Morgan: Yep, yep. Meagan: Because I was like, “If I have to have a third Cesarean because he’s breech, I will be so mad.” But yeah. That’s so hard. Morgan: Right. That’s so true. I think Cooper was telling us, “I’m not supposed to be here if I go this way. Things are going to go bad,” and sure enough, they did. He tried twice but then yeah. Meagan: The third time was too stressful for him. Morgan: It was too stressful. I think possibly that maybe that umbilical cord got bent in a way that no airflow could go through or something. We don’t know. But yeah, thank goodness for that C-section because it brought him back to us. Meagan: Absolutely. Yeah. So then baby number three? Morgan: Yep, baby number three. That was five years later. We’ve had a lot of difficulties with some miscarriages. I didn’t mention before that I’m Active Duty Coast Guard. I also am on the ships all of the time so you have to plan pregnancies around shipboard life. Meagan: Oh my gosh. Morgan: Yeah. There are big time periods between my kids. But baby number three was five years later. I wanted a VBAC from the start. I wanted an unmedicated VBAC. I knew I could do it. After my first pregnancy where I was so close to being unmedicated and my second pregnancy being a C-section, I knew that VBACs were available. I knew that I could do it. I was so adamant about going down that route. With the Coast Guard, you don’t really get to choose. With any military, you don’t really get to choose your provider. Most of the time, we are in a military treatment facility. I was very, very grateful to not be there. I had some negative experiences in both the local MTFs. This was in Washington, D.C. so getting to be with a civilian provider was just amazing to me. I was very happy. We were with the INOVA hospital system at that time. The provider I went to for the first appointment was at 10 weeks. We had a great heartbeat. Everything was going well. I was like, “I’m going to have a VBAC with this child.” He said, “Okay. I am good to go on that.” It was exactly what we were expecting. I would never have expected him to say otherwise at that point. I’m like, “Vaginal birth is clearly the way to go without any sort of condition saying otherwise.”The pregnancy progressed. I guess I should mention that I was 40 at this time. With my second child, Cooper, I was 35 or 36 when I had him so I was in that high-risk stage just for age at that point. So of course, I’m there now at 40 and everything was fine. The pregnancy progressed. Everything was going well. At some point midway through, we were looking at what position the baby was in and she was breech. I was not happy about that and he was like, “It’s okay. It’s okay.” Knowing what happened with Cooper, I was not so thrilled. Meagan: You’re like, “I have some trauma on that.” Morgan: I did, yes. At this point, I didn’t go for a chiropractor but I did learn that there was a wonderful acupuncturist in the area that had wonderful success with turning babies so I went to him. It was a 3-hour session and I actually felt her move in the session. It was just amazing. I couldn’t believe it. It was so cool. I’m like, “I feel her moving.” So she did. She turned a whole 180 at that point. He left us with homework. He called it, “Hot hot sticks” where you burn this incense over your pinky toe. Meagan: Bladder 6, yeah. Morgan: My husband would do it and the acupuncturist said, “You don’t take it away when she says, ‘Hot’, you take it away when she’s like, ‘Hot, hot, hot, hot!’” so that’s why she called it hot hot sticks. Meagan: Hey, I have actually seen that work though. The baby flips with those things. It’s called Bladder 6. It’s really cool. Morgan: We did that. He’s like, “You have to do this every day.” We continued to do it. It was great. I mean, I speak wonders about his service in the D.C. area. So that worked. We go back to the doctor and around 30 weeks, he started saying, “Okay, we need to schedule your C-section.” I was like, “Why? No. We don’t need to schedule a C-section.” He goes, “Well, you had one so we just need to schedule it.” I said, “I’m doing a VBAC. We talked about this.” Meagan: Yeah, remember at 10 weeks?Morgan: Right, right. He said, “Well, just in case.” I was like, “Why can’t we just induce? There are many steps between vaginal delivery and a C-section.” Meagan: Yes. Morgan: And scheduling a C-section I should say, right? So he taught me then, “We don’t induce with VBACs. There’s no Pitocin.” Later on in the story, I found out that that’s not exactly accurate. Some d…

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    Episode 236 Carlise's VBAC + Signing an AMA May 24, 2023
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    When the empowering VBAC experience she envisioned took a hostile and combative turn, Carlise knew she needed to change birth locations immediately. Though signing an AMA was not something she thought she would ever have to do, Carlise found the strength to fight for the birth she deserved. Her thorough research and supportive husband and doula gave her the confidence to not tolerate a doctor’s inappropriate behavior.Meagan shares the pros and cons regarding AMA forms to help you feel educated if you find yourself in a situation similar to Carlise. While it was extremely difficult, leaving that first hospital during labor was ultimately what allowed Carlise to have her beautiful, unmedicated VBAC!Additional LinksCarlise’s InstagramAMA ArticleHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello. You are listening to The VBAC Link and we have another story for you today. We have our friend Carlise and she is from all over the place but she is in Texas currently. This is where you had your VBAC. In Texas?Carlise: Yeah, so both of my pregnancies have been here in El Paso, Texas. Meagan: Perfect. She had a VBAC in Texas and she had a wild journey kind of similar to a month or two ago, I want to say maybe it was Morgan where she had to sign an AMA and leave while in active labor. We are going to talk a little bit about AMAs today as well in addition to her VBAC because it’s something that we don’t talk about a ton. If you don’t know what AMA is, it’s against medical advice. That is a form that we would have to sign to pretty much say that we are leaving against medical advice but sometimes we are put in situations– and I’ll share a story that I’ve been to as a doula– where we feel that we have to sign these AMAs. Review of the WeekIn this situation, you signed the AMA and went on to another hospital and had a VBAC and a different experience. So we’ll talk a little bit about AMAs but first, we have a Review of the Week as always. Just a reminder, if you haven’t left a review, we would love your review. You can leave it on Apple Podcasts or on Google. You can just search for The VBAC Link on Google. You can email us at info@thevbaclink.com or wherever you listen to your podcasts. We love your reviews. This is from runnervt. It says, “This podcast helped me get my VBAC.” It says, “I started listening to The VBAC Link to process my Cesarean due to breech presentation. It helped so much to hear women put into words all that I had thought and felt. Then I listened to it in preparation for my VBAC. Today, 8/7/22 and there were times I thought that my VBAC was slipping away but I was able to be prepared and get a little lucky and pushed out my 9-pound baby in 48 minutes with no tearing!” It says, “Thank you so much. Talk about the feeling of being superhuman. Thank you so much, Julie and Meagan.”I love that, superhuman. You are all superhumans. Birth is just so wild. Wouldn’t you agree, Carlise? It is such a crazy experience but it is so amazing. It is so beautiful. It is crazy to think about how different births can be. Carlise: 100%. It’s crazy. Meagan: Between one baby to another or say you have five babies and you’re like, “Yeah, this has been the same.” I have a friend who has had her 5th baby. She was like, “Okay. I have had easy peasy births” and all of these things, and her 5th baby was a Cesarean. She was like, “That came out of left field.” It was a whole crazy thing. She was really sick and baby was really tangled in her cord. But yeah. It’s wild. It’s wild to think just how the unexpected can happen so I think it’s so important to listen to stories just like the one that we are going to be sharing today and all of the stories on the podcast so you can get a better grasp and understanding of childbirth, how it looks, the interventions, and all of the things that can happen in childbirth. Sometimes it’s really hard to listen to those Cesarean stories for sure because you’re not wanting another Cesarean or if you’re a first-time mom listening to the podcast which we do have first-time parents listening to the podcast, it’s hard to want to listen to those because it’s not what you’re preparing for or it’s not what you think would ever happen but like 90% of us on this podcast, we didn’t think a Cesarean would happen either so it’s so, so, so important for us to learn all of the ways birth can come at us. We are going to get to your story but I would love to know if you have anything that you would like to add in the beginning of advice to the parents listening. Carlise: I think just doing as much research as you can possibly do and know that you may have some pushback in getting your VBAC or the birth that you want in general. But be confident in that research and also share that with your spouse or your support. Let them know, “Hey, this can happen or these are choices that we might have to make,” so that everybody’s educated and everybody goes in the room knowing what can happen because anything can prep for all of it but you’ve got it and it’ll be fine. Meagan: Yeah. Yep. I love it.Carlise’s StoriesMeagan: Okay. Well, we are going to get into this story but first, I just want to quickly introduce you a little bit more. We talked about how you are in Texas but you are from a small town in Missouri where you met your husband right after high school which is so awesome. You have been married for six years. You’ve lived in Alabama, Germany, and now Texas. You are a stay-at-home-mama providing stability for your girls. You have the two girls. What are their ages?Carlise: My oldest daughter is two and we just had Amelia last month so they are almost exactly two years apart. Meagan: Two years apart. That is so awesome. Your husband is an Active Duty Pilot?Carlise: Yes. He flies Apaches.Meagan: Yes. That’s so awesome. That’s really, really cool. I am so grateful to you for being with us today and I would love to turn the time over to you to share your VBAC story. Carlise: All right. My first pregnancy was super uncomplicated. There weren’t any issues throughout the entire time. We actually got pregnant in Germany and then when we were PCSing or moving back to the States, I was 17 weeks. We didn’t have any issues. Then we got to about 34 weeks and baby was breech. They were like, “No, no. It’s good. It’s good. Baby can flip, whatever.” I’m over here planning my vaginal birth, no problem. I have all this research done and then 35 weeks, still breech. 36 weeks, yep. Still breech. They gave me all of the things. ECV, moxibustion, Spinning Babies, and chiropractic care, but it was right in the middle of COVID so I couldn’t do chiropractic care. I couldn’t do acupuncture. I tried all of the things but she just wanted to be like a little taco. She was my little frank breech baby. We scheduled a C-section for 40 weeks. She wanted to come at 38+4 so we had gone in because I had a very, very slow leak. It was slow enough to where I was like, “Okay. Is this my water? Is it not my water?” Yeah. Sure enough. So when we got in, we had to wait a few hours because I had eaten that morning. We had a pretty uncomplicated C-section. The spinal took multiple different tries so that was horrible. The drain was at my collarbone so I didn’t get skin-to-skin after. All of the medication just made me super foggy and I straight up don’t remember the first two hours of my daughter’s life. I don’t remember latching her for the first time. It’s still really rough because that’s not the experience I wanted at all. Meagan: Right. Carlise: So when I got pregnant again 14 months later, honestly I walked into it a little naive because when I had done my research for my first pregnancy, I knew I wanted that vaginal birth. I had seen information on VBAC a lot actually when I was doing some of my research. I just kept seeing that it was a good thing. It was recommended by ACOG or whatever so I just thought that that was normal. Meagan: You didn’t even question it. You’re like, “Okay, great.”Carlise: I didn’t even think about it. When I was trying to make my appointment on post because we have Tricare Prime and you have to be seen on post. They were like, “Yeah, no. We can’t get you in until you’re 17 weeks pregnant.” I was like, “No. That’s not going to work.” They pushed me into the network off post and that’s actually kind of what I wanted but little did I know, the military hospital is the most VBAC friendly. I didn’t know that at the time. I had chosen an OB that everybody was like, “He’s great. He’s so good.” I was like, “Awesome.” At my first appointment with him, he sounded so supportive. He was like, “Yeah. You sound like a really good candidate.” He looked at my OP report. I was feeling really good about it. Then every consecutive appointment with him, I think I had three legit appointments, he just kept saying, “C-section this. C-section that. Whenever you want to schedule a C-section–” and I’m like, “Yeah. I have a sneaking suspicion that this is going to be a bait and switch here.” Meagan: Which is a terrible feeling. It’s not a fun feeling when you’re like, “Why is everything switching?” Carlise: Especially when he sounded so supportive, it was so disappointing, and then having to switch at 20 weeks, you’re like, “Okay, great.” Then, the anatomy scan that he did was literally less than five minutes. We both know that is not an anatomy scan. He pointed out major features. He didn’t look at the spine. He didn’t look at the heart. He didn’t look at any of these things. I was just feeling so uncomfortable with my care so I was like, “Yeah, no. I think I’m going to be done.” I was interviewing doulas and my doula had asked where this doctor delivered. I told her. The two hospitals that he delivers at have the highest rate of C-sections in the area as well as really, really bad reputations for episiotomies. Hearing her stories from being a doula at those hospitals was not great. I was like, “Okay, yeah. No, I’m going to switch now.” I talked to her about where she recommended and she’s like, “Honestly, on post. If you can get back on post, that’s going to be the most recommended but if you can’t,” which I wasn’t able to, the university hospital was going to be the second best place to get the VBAC. I switched my care. My pregnancy was super uncomplicated again. At the university, I never saw the same doctor which I really didn’t want but I was just like, “Whatever. I’m going to do this whether or not I have a supportive provider, so it’s good. You’re just here to give me prenatal care.” They were definitely more tolerant than fully supportive. They kept saying at every single appointment, “You’re going to get an epidural, right? You’re going to get an epidural.” I was like, “No.” They’re like, “Okay, well it’s just in case.” I hear that a lot. But no, I’m planning on going unmedicated. They just kind of left it. Then we got to about 38 weeks and my doula had called me. She’s like, “Hey, I just had a horrible experience at UMC. The nurses were really pushing back at everything that this first-time mom had wanted.” They didn’t treat her well and it just sounded super, super iffy. She’s like, “We can obviously still go. I just want you to be prepared that it might be something that we could encounter.” The whole time, I was like, “I just want to go to the military hospital.” I had my daughter there. I was really comfortable with the staff. I really liked their care. So I was like, “You know what? We’re just going to go to the military hospital in labor.” She was like, “Okay, cool. Sounds good.” So that’s what we ended up trying. One day before 40 weeks, I went into labor super early in the morning. It was 1:30 in the morning. They were very odd contractions. It was like a rollercoaster for 24 hours. They started at ten minutes apart and then six but they would bounce around. They weren’t consistent at all. That just happened forever. I was just like, “I just want to be done.”Meagan: You’re like, “I’m tired.” Carlise: I was so tired. I was trying all of the things like the Miles circuit and curb walking, playing with my daughter, and trying to rest. Nothing was working. My doula was like, “Do you think it’s a mental block? Do you think there’s something?” I was like, “No, I feel good. The TENS unit is amazing.” I baked a cake while I was in labor. I was just like, “I don’t understand.” She’s like, “You’ve got this. It’s fine. It’s going to progress. Just try to rest as much as you can.” Then it was at 40 weeks at 1:30 in the morning that we started progressing a lot quicker. I was at 6 centimeters and I was like, “Yeah, I’m going to call the doula.” My husband ended up calling and while he was on the phone with her, they were just getting really, really intense. He was like, “Yeah. I think we’re ready for you to come.” She started making her way. It was about a 45-minute drive. At about halfway for her, she calls and she’s like, “You know, Carli sounded like she was ready to go. Is she progressing?” Doug was like, “Yeah. It’s getting serious.” She’s like, “Okay. Let’s just meet at the military hospital. Let’s meet there. I’ll meet you at the parking lot.” We go ahead and make our way over there. It’s about a 15-minute drive so it’s not too bad. She gets there at the exact same time that we do. The doula had also let the hospital know that we were on our way. They were already expecting us. When we got to the L&D, the nurses took me back. They did all of the normal blood pressure. They hooked me up to the monitors. They asked me why I had decided to go to the military hospital in labor. I gave them my whole explanation and they were like, “Yeah. Okay, sounds good.” They were super nice and very supportive. I had also taken all of my labs with me, the GBS strep results, and all of the things as well as printed out my post-OP report for them to have as quick and easy access. Meagan: Which as a side note is always good to have even if you’re not planning on going to another hospital because you never know if a precipitous labor happens or anything but it’s really nice and usually providers enjoy having that. It brings comfort. Carlise: Yes so that’s why we brought it. They also had seen that I had been in triage two weeks before because my daughter wasn’t moving as much. I decided to go there so that way they could check the baby and also have me in the system already. I had talked to a doctor as well about coming there in labor. They asked me all of the things like if I knew the risks and benefits of VBAC, just took some medical history, and were very supportive. They were like, “Yeah, absolutely. We don’t mind you coming here in labor at all.” I felt so confident. I felt so confident going in. The nurses had been like, “Okay, cool. Sounds good. Are you wanting an epidural? Are you wanting an IV?” I was like, “No. I don’t want an epidural. I just want a heplock. I’ve been able to keep down fluids and everything so I’m not having any issues with that. I just want a heplock.” They were like, “Cool.” So very supportive and nice nurses.They were like, “Okay. We’re going to get your support.” They went and got my doula and my husband and then they did a cervical check. At this point, my contractions were three minutes apart and very consistent. When they checked me, I was at 4 centimeters, 90% effaced, and -1 station. Baby was still up there a little bit. They also noticed some decels on the monitor. I was on my back and I was so incredibly uncomfortable. My daughter did not want me on my back. Every time I was on my back, it was awful. We had asked the nurses if that was a possibility and they were like, “Yes, but you bought your ticket for admission because of those decels.” We’re like, “Okay, no problem.” We were expecting to get admitted anyways. So then the nurses were like, “Okay, we’re going to get the doctor but I want you to know that he’s very m…

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