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Episode 228 Lindsey's HBAC + Paternal Postpartum Depression Mar 29, 2023

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“It’s a dream. I am so thankful and just hope I can return the favor to the community because you all have been such a gift in my life. If I can give anything back, I hope that my story helps people.”Lindsey’s episode has SO much to offer! From listening to over 200 VBAC Link birth stories and extensive evidence-based research, and now fresh off of her own HBAC, Lindsey shares her list of helpful VBAC tips. As an active duty Air Force servicemember, Lindsey also shares tips on finding birth support during a military PCS as well as getting a referral to birth outside of the hospital under military insurance. Finally, Lindsey shares her husband’s journey with paternal postpartum anxiety and an update on how his anxiety levels are now– three months after her HBAC.Lindsey’s stories are just as impressive as she is and we are so honored to have her on the podcast today! Additional LinksHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, you guys. Welcome to The VBAC Link Podcast. We have a story coming to you today from Maryland. We have a mama. Her name is Lindsey and she married her high school sweetheart which I think is so fun. So fun. They have two boys, right?Lindsey: Yes. Meagan: Pretty fresh postpartum. Three months out. Lindsey: Pretty fresh. Meagan: Pretty cool. Your husband is a stay-at-home dad and you are on active duty Air Force and work as a dentist. How? You are a powerhouse. That is awesome. Lindsey: Thank you. Meagan: You are doing a residency and you have lived all over the country and seen so many things and you’ve had a VBAC. Lindsey: I can’t wait to share. Meagan: Yes, I can’t wait to get into this story. You guys, one of the things we are also going to be talking about today is something that I actually don’t know if we’ve ever talked about on the podcast but it is something that I feel like I saw in my husband when I was going to VBAC for the first time with my second birth. I saw what happened and he shut out, so we want to talk about paternal postpartum anxiety a little bit today because it’s something that we don’t focus on highly. We are focused on the mom giving birth and the experience that they have had, but it’s so important not to forget about our significant others or our birth partners, or anybody there that was in the space and witnessed birth. I’m excited to be talking in just a minute with Lindsey about paternal postpartum. So if you have a significant other that may have had a traumatic experience, definitely listen up. It’s going to be great and then also sometimes, I think just hearing these stories and hearing maybe some of the characteristics and things that are happening, it might help you know. I didn’t know until he had said things when I was preparing for my vaginal birth after two Cesareans, he was saying things and I was like, “Okay. You are not okay completely. That triggered you and let’s talk about it.” So I’m really, really excited. Review of the WeekOf course, though, we have a review of the week and this is a long one. I would always make Julie read the long reviews because I swear I can’t read and hear myself at the same time. I just get mixed up so we’ll see how this goes.Lindsey: You’ve got this. Meagan: This is from likap8 so thank you. It says, “I did it. I have my VBAC.” It says, “Hello, ladies. I was waiting to write this review since I was pregnant and tell you thank you very much from the bottom of my heart. I knew I was going to achieve a VBAC thanks to the knowledge you provide. When I was 12 weeks pregnant, my doula team recommended it to me and I immediately felt really empowered by listening to every single story. I finally had something real from real women telling me that VBACs are possible, that I just needed to educate myself and do everything in my hands to make it happen, and that’s what I did.”“I hired a doula team. I went to the chiropractor. I did Spinning Babies. I followed doulas on Instagram that tell you what exercise you must do to prepare for labor. I did Hypnobirthing. I submerged myself in everything about natural birth and I trained my body and my mind for this big day. I had my VBAC on March 15, 2022” which is almost a year ago. Actually when this comes out, it will be over a year ago. It says, “and it was the most healing experience. I did it thanks to you all and people like you to help women like me have our dream birth.”Wow. That was incredible. Such an amazing review. Thank you so much. We are always smiling when we see these reviews come in on Apple Podcasts or Google. Sometimes like I’ve said in the past, we’ll just get an email that says, “Hey, I just want to quickly write a review.” So if you have a review for us, please shoot it over. We would love to read it on the next podcast. Lindsey’s StoriesMeagan: Okay, Lindsey. Are you ready? Lindsey: I’m ready. I’m excited. Meagan: I’m so ready. Thank you so much. I’d absolutely love to turn the time over to you and share all your wealth of knowledge and your experience that these listeners are definitely going to benefit from.Lindsey: Thank you so much for having me. This is a moment that I daydreamed so many times when I was walking with my son, well, when I was pregnant with him and when I drove. At one point, I was driving to a provider in Virginia and I would listen to it on the drive. I was like, “Maybe one day I can be on the show.” Meagan: And here you are. Three months postpartum. Lindsey: Oh my gosh. It’s a dream. I am so thankful and just hope I can return the favor to the community because like your review said, you all have been such a gift in my life. So if I can give anything back, I hope that my story helps people. Meagan: Awesome. Lindsey: Yeah. So I first learned about The VBAC Link actually right after I had my Cesarean. It was a week after my Cesarean. I searched #vbac on Instagram and you guys popped up. I started following it and tucked it in the back of my mind because I had heard about a VBAC and I knew that I wanted to try for that. I didn’t start listening to the podcasts until I was 24 weeks pregnant. My family and I had just done another military move. We moved from Kansas to Maryland and I was pretty overwhelmed by starting over again. The moves have been pretty good, but when you start adding kids to the mix, it makes it a little harder. I felt like I didn’t have a community and I was starting this intense training program and feeling kind of lonely. I felt like I didn’t have the time or mental capacity to learn everything I should learn to have a good VBAC, so the podcast was such a gift because it packaged it into a reasonable amount of time that I could do when I was multitasking and then provide evidence-based information and hear a powerful story. It was just everything that I needed, so I learned so much from you all. I’m so thankful. My Cesarean story, to start out, I wanted an unmedicated birth with my first son. We hired a doula. We found the only midwife in the town where we were living in Kansas who covered our military insurance. The base I was at didn’t have OB care so we got an automatic referral. I kept a really active pregnancy. I even did cardio kickboxing up until the day before my water broke. Meagan: Cool. That’s awesome. Lindsey: I was like, “Yeah, I’ve got this.” But a couple of things looking back on my pregnancy, I did have a brand new midwife. She said I would probably be the first birth that she attended which is fine. Meagan: Yeah, you’ve got to start somewhere. You’ve got to start somewhere. Lindsey: Yeah, but the way that it worked in the city where I was living in Kansas, she was not on her own. She was actually part of an OB practice. She couldn’t be on her own so that practice, I found out later, had the highest Cesarean rate in town. I didn’t know that at the time. She also gave me the recommendation to start using primrose oil vaginally at 38 weeks and I didn’t know that that was an induction method. I found that out on your podcast. She said that it would prevent tearing so I was like, “Oh.” I found out things later. Things I didn’t ask about. I didn’t know to ask about them. My water started leaking at 40 weeks and 1 day. I woke up at 3:00 AM. It was just a trickle and mild contractions. I went back to bed and called the midwife on call at 6:00 AM. She was like, “Well, you have an appointment today at 8:00 so you can wait for that.” At 8:00, she checked and my waters had ruptured. She left the room to talk to the OB and then when she came back, she was like, “You know, let’s have you eat some breakfast and then have you come start Pitocin.” The hospital had a birthing center across the street from the hospital so you weren’t actually at the hospital but they were prepared if something went south. You could have a Cesarean there too, but not really meant for it. So then I arrived to the birthing center, or a birthing suite, and they didn’t have a cordless monitor so they put me on a monitor that had the cord. I remember being really disappointed because I was like, “I want to walk around,” but it was really limited with that. They started Pitocin and really an hour later, I was having a hard time handling them. The contractions were really hard and really fast. We called my doula and she came. I remember my midwife saying, “Don’t scream.” I said, “Okay, well I don’t know what to do. I’m trying not to scream.” I labored with Pitocin for seven hours and got to 6. My midwife then had me stop Pitocin and labor on my own for three hours. I remember sitting in the bath and not wanting to get out. I was like, “I don’t want to get out of this bath.” I wasn’t really feeling any contractions at this time. I did have the labor shakes and I remember asking why. No one really answered me why I was having the shakes. I found out on your show later, one episode, and I was like, “Oh, that’s normal. I didn’t know that it was normal.” Meagan: So was the water helping you contraction-wise? You weren’t really feeling them or did it just stop?Lindsey: Unfortunately, she checked me and I was still at a 6 three hours later. Meagan: So when they turned Pitocin off, your body wasn’t quite in that active phase on its own. Lindsey: Okay. Meagan: Okay. That’s when I was like, “Hmm.”Lindsey: I know. She put me back on Pitocin and I said, “If you’re going to do that, you’re going to have to give me an epidural,” because my body had just calmed down from not having it for three hours. The epidural worked so well. I was numb all the way up my chest. Meagan: Oh wow. Lindsey: I know. I remember asking, “Can we turn this down?” They never turned it down because it never felt less than that. Then seven or eight hours later was when I made it to a 10 and I had got some rest. They said, “Okay, time to push.” Again, I couldn’t feel anything. They showed me how to do it. They said, “You’re doing it.” After two hours of pushing, my midwife went in and manually tried to turn my son because she said that he was in a weird position. When she did, his heart rate deceled. She told my husband, “Go pull the cord.” He pulled the cord. Eight people flooded in the room and then I heard, “Turn her on my side,” then I was like, “Oh.” So I turned myself on my side and my midwife apologized actually to me afterward. She was like, “I didn’t mean for you to turn you on your side,” but I was just like, I don’t know if it’s because I’m in the military and I heard something so I was like, “I’ve got to do it.” But we laughed about it. It was something to laugh about. After another hour of pushing, so three hours total, she asked the hospitalist who was working to come in and the hospitalist did a pelvic evaluation. She determined she couldn’t get forceps around my son. He was asynclitic and at that point, she said that she recommended a Cesarean. I learned that it’s an unplanned Cesarean, not an emergency Cesarean, but still, it felt emergent and it felt unplanned. It felt very unplanned. Meagan: Yeah. That’s one of the hardest things for me as a doula, as a mom who has had them, to decipher what is emergent because they treat it as it is an emergency and we are feeling that feeling so we think that we had these emergent situations. Lindsey: Yes. You definitely feel it. Meagan: I’m not saying there aren’t. There are definite emergent situations, but sometimes, we label them as emergencies and they’re not but the way that everybody is making it seem feels that way. Lindsey: Yes, and the tension was definitely in the room. I mean, even when I was in labor and pushing. Meagan: Was he doing okay? I know he had the decels a little bit, but was he doing okay now? Lindsey: Yeah. Oh yeah. He was stable at that point when they brought me back which was good. So he had had the decels. Then I consented and thirty minutes later, they pulled my son out. He was crying and I cried and felt that instant love that you feel for your baby like you’d do anything for them and it was very special, but I definitely felt really excited and then also really robbed of the birth that I wanted at the same time so it was kind of weird to feel both things at once. Meagan: But that’s okay. That’s okay. Lindsey: It is okay. What was encouraging though was like, “Man, I labored for nothing.” 20-something hours of labor, but all of those hormones, the midwife did say, “You know all of the hormones you had released are really good for the baby too,” so I was like, “Okay if it worked for something.” So then about 4-5 hours after my son was born, they left us alone for a little bit. They still came and checked on us. I woke up and my husband was pacing the room. I asked him, “What’s going on?” He said that he was shaking. I could see that he was shaking and his heart rate was racing. He was really emotional. I told him, “I think you’re having a panic attack.” We were married for almost ten years before we had kids, then we were together for five years before that so we’d been together for a long time and I’d never seen him go through anything like that before. I was like, “Oh my gosh, just come,” and I had him lay in the hospital bed with me until he stopped shaking. Yeah, so that was our experience at the hospital, and then we got home and I remember we ordered pizza and he couldn’t eat it at home after the hospital. He couldn’t eat anything for a few days after we were home. He barely was eating anything. He couldn’t be in the same room with our son when he was crying. He felt like another panic attack would come on, then couldn’t be in the room when we were sleeping at night. I remember feeling so concerned that he would never be the same again. We would never want any more children. He is my best friend, so it was like, “Oh my gosh. Who do I talk to about this? What do we do?” We actually ended up, he talked to one of the pastors at our church and worked through that. We were like, “Okay. This is a hard moment. We’re working through it.” Evenings were the worst at the time. When the sun started to go down, that’s when we would try to connect together and talk about what he was feeling and going through. We would pray and we would watch Gilmore Girls which is our favorite show. It seemed like things were slowly getting better, but then five months later, my husband was watching our son and I had already gone back to work after 12 weeks and then he was also watching our friend’s baby who is a little bit younger than our son and the baby started crying and he had a panic attack. He called me and I was working across the street. Our base was across the street from where our friends lived. Thankfully that day, a skunk had gotten into the ventilation system at work. Meagan: Oh gross. Lindsey: We were all being evacuated at that moment. They called it a natural disaster. Meagan: Oh my gosh, that’s a natural disaster. That is. Lindsey: It was $80,000 worth of work to fix it in the end. It was nuts. I was literally…

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Episode 227 Brenda's VBAC + Heart-Shaped Uterus Mar 22, 2023

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Due to a velamentous cord insertion and breech presentation, Brenda decided to schedule a Cesarean for her first birth. It was a peaceful, calm, and beautiful experience. When she became pregnant with her second baby soon after the first, Brenda knew she would be okay with another Cesarean if necessary, but also intuitively felt that this birth experience would be very different. Though she didn’t know exactly what to expect from labor, her body took over and knew exactly what to do…even in the car!Additional LinksBrenda’s WebsiteBrenda’s InstagramBrenda’s FacebookHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Happy Wednesday, everybody. You’re listening to The VBAC Link. This is your host, Meagan, and you guys, we have a great story for you. A really, really great, exciting story. One of those stories that you see go viral. Brenda, you might have gone viral. They go viral, a lot of these stories, and they’re really fun to listen to. I always remember imagining and being like, “That would be cool if that happened to me,” then I’d be like, “What would I do?” I don’t know what I would do. Our friend, Brenda, is here to share her story with you. You guys, trust me. It’s going to be an amazing one. I’m going to read a review and then we are going to jump right into it. Review of the WeekToday’s review is by jess63636 and it says, “Fantastic resource for mamas looking to VBAC.” It says, “I listened to the VBAC podcast in the days leading up to my delivery. I wish I had discovered it sooner. The VBAC Link resource helped me through a successful VBAC induction.” Love it, congratulations. “It was an empowering experience facilitated by the support of The VBAC Link.” Oh, that makes me so happy. It makes me so happy. We have a lot of people that will find us toward the end and they’re like, “Oh, we wish that we knew about you.” I’m like, “I love that you love the podcast in the time that you did have us.” Don’t stop listening because guess what? All of these stories are going to continue and they’re all amazing and have their own special twists. So if you would also like to leave a review if you feel like jess63636 and would like to leave us a review, we would love it. So check it out. You can go on Google or on Apple Podcasts. You can shoot us a message at The VBAC Link on Instagram, Facebook, or wherever and you might be the next review read on the podcast. Brenda’s StoriesMeagan: Okay, Brenda. I’m excited to hear it. I was reading it, but I’m excited to hear from your words. I just think it’s great. We kind of talked about this right before we started recording, but I want to also tell listeners that you have something that a lot of our followers will write in and say, “My provider is telling me that I can’t have a vaginal birth because…” What do you have? Brenda: A partial bicornuate uterus.Meagan: Yes.Brenda: Also known as the heart.Meagan: Heart-shaped, exactly. So a heart-shaped uterus. Is it different? Yes. But you are living proof, right? You are living proof that it can be done. So yeah, if you have a heart-shaped uterus then listen up. This is quite the story.Brenda: All right. I’m just going to start with my daughter’s quick story/birth and everything and also just mention her C-section. There was nothing traumatic about it for me. Everything went really smoothly and it was a really good C-section. I almost fell asleep during it was how calm and peaceful it was.Meagan: That’s so beautiful though. That’s so beautiful.Brenda: Yeah, it really was. I love listening to redemption stories, but personally, it wasn’t a redemption for me. It was just another experience that I wanted to experience.Meagan: Which I think is important to note by the way. Just saying that right there because we do hear a lot of hype, and mine was hyped I believe, and a traumatic experience. I don’t mean hyped like we are hyping it up. It’s a very intense lead-up and sometimes you can look back and are really struggling. It doesn’t always have to be that way and it isn’t always that way so we also need to be mindful of our listeners that didn’t have a traumatic Cesarean because sometimes we carry our feelings outwardly so it’s okay that someone had a beautiful experience.Brenda: Yes. Yes. It was really beautiful and leading up to it when I found out I was going to need the C-section with her, I was really disappointed. Ultimately, I wanted to have an unmedicated, vaginal birth with her and then we ran into, they weren’t really complications, but we didn’t know about my uterus. I had a very healthy pregnancy.She never moved much. She was breech pretty much the entire time. From my 20-week scan on, she never moved or flipped or anything but she was fine. A bunch of sono techs kept asking me, “Do you know what the shape of your uterus is?” By the time they had started asking me, my uterus was too expanded from being pregnant. I never had a reason to go find out what shape my uterus was.We had switched our OBs multiple times throughout my first pregnancy. We went from a friend’s OB, who had two Cesareans with him which were great. He was a great doctor. I just didn’t want to be in the hospital really, so we switched to a birthing center and then we were kicked out of the birthing center because she was breech and I also had a velamentous cord with her.Meagan: Which I feel like is also more common than we know.Brenda: Yeah. Yes, it definitely is. But I know too, our OB from my second pregnancy said that he usually doesn’t find out until birth about it, but with my first pregnancy, everyone was scaring me about it because it can be scary.Meagan: Yeah. It can result in IUGR and complications during birth.Brenda: Yes, but I just feel like they really hyped it up for me like, “You need to get a C-section.” I did feel like I needed to because she was breech on top of the cord insertion. So we ended up switching to a midwife after we got turned down. It was a midwife that one of our friends who was also pregnant was using and I was just like, “You know what? Let’s just do it. I don’t really want to be with an OB. It’s a pretty good hospital here,” so we switched and she basically explained the velamentous cord because I feel like it was really hard to find information on it when you Google it. There’s no clear information on it.She had drawn out a picture for us to understand it and then she explained, “And the baby’s breech and we don’t know what—” They thought that my uterus was a notch. I don’t know if I’m staying that right, but they thought that there was something stopping her from moving and then it ended up being that my uterus wasn’t what they expected it to be. So then once she drew the picture, it was just clear and I felt like, “Okay. This just needs to happen. I can’t even attempt it.” I even went through trying to find doctors who would deliver breech babies and there were not really many around here.Meagan: There’s not really many around anywhere.Brenda: Yes. So I did go down that route for a little bit and then I was just like, “Okay. I think I can’t do this. I’m stressing myself out too much and I don’t want the baby to be stressed,” so we had scheduled a C-section for May 17, 2021, and no. She was due on the 17th. The section was scheduled for the 13th and then my water ended up breaking at midnight on the 8th, the day before Mother’s Day.But I did also do all of the squats and I tried to induce labor because just personally, I wanted her to pick her own birthdate. I’m one of the oddballs when it comes to C-sections. I don’t like to plan the date. I would prefer to go into labor and let the baby choose so I was so excited when my water broke in my sleep. My husband was freaking out because he was like, “Oh good. We have the C-section date,” not freaking out, but he was at ease.Meagan: He was planning that day, yeah.Brenda: Yeah, and then the next day was Mother’s Day. We got to the hospital. We had a doula and she ended up meeting us at the hospital. Because of COVID and everything, she wasn’t allowed to come into—I think in the OR they’re usually not allowed to come in at this hospital, but she couldn’t even come in after to see us, but she was with us before. It was nice because even though I was excited, both of us were really nervous.Meagan: Yes. Well, talking about that. We get a lot of emails about, “What if it goes to a Cesarean, or what if I need a Cesarean? Is a doula worth it? Would you say yes?”Brenda: 1000% yes. Yeah, I would say because we had hired her before I needed a Cesarean and then that happened. She was with us after and just comforting me. I really, really wanted to do an unmedicated birth. It was definitely worth it because she also came over to the house after. We didn’t know what we were doing. We were first-time parents also and then I’m recovering from a major surgery. It’s not just a birth. It’s a surgery too and I had never had any surgeries in my lifetime, so that was the first one. But yeah, it’s definitely worth it if you can afford it or if you find somebody. I know around here, they have a lot of communities where they have affordable doulas which are really nice.Yeah, it was worth it and she was there, thankfully. My husband and I were both freaking out inside of our heads at the same time. I don’t think we both realized it and when we talked about it after, we had to wait for five hours for my C-section in the hospital.Meagan: Wow.Brenda: Yeah, because I had to get the COVID test and then I wasn’t really progressing or anything.Meagan: Oh, wow. I was going to say that normally with that type of situation, they would get you right in so that’s interesting.Brenda: Yeah, they were very busy that night.Meagan: They’re like, “You’re okay. You’re not having a baby right now.” Gotcha.Brenda: Yeah. Right before I went in, I started to get some mild contractions, but I didn’t know what contractions were until the second pregnancy. It was like, “Oh, I think I was getting a contraction. I don’t know.” But she kept us calm waiting to go in because five hours was a long time to wait.Meagan: That’s a long time to wait.Brenda: Yeah, so that was good and like I said, I almost fell asleep on the table and my husband was rubbing my head. He doesn’t do good with blood and stuff so he was trying to keep his eyes on me and rubbing my head to focus on something and not knowing it was really keeping me calm. But yeah, then she was born and it was Mother’s Day the next day. It was one of the hospital’s busiest weekends in years they said.Meagan: Wow.Brenda: Yeah, so that’s why we had to wait five hours.Meagan: Makes sense, makes sense.Brenda: Yeah, and then the next day, the OB—he was an on-call OB. I actually don’t even remember his name but I really, really liked him just because when he came in to check on us the next day, he had drawn out my uterus. He said, “So we have figured out your uterus. It is the partial bicornuate heart-shaped uterus” and explained, “This is where your daughter was in the womb,” and all of that.I don’t remember if I asked him but he basically just said to me, “You can totally have a vaginal birth going forward now that we know,” because this is the part I forgot. They didn’t want to manually flip her because they were sure and then with the cord insertion and everything, it was too much. It could have been a big storm.Meagan: Yeah, totally. That’s cool that he came and spent that time and was like, “This is where we’re going,” and that he even did say, “You can have a vaginal birth in the future, assuming we’ve got all of these other things.” But that’s really cool that he took that time, especially during one of the busiest weekends of the year.Brenda: Yeah, yeah. Actually, thinking back now after my second pregnancy, the midwife, I wouldn’t go back to her even though she was great for that, but thinking back, I’m like, “She didn’t check on us.” There are a lot of things now looking back I’m like—Meagan: Yes, and all of those things matter. They matter. They really do.Brenda: Yeah, but then that was my daughter, Harper.I’ll just go right into Hudson.Meagan: All right.Brenda: So Hudson is five months today by the way. I was very excited to record this for his five-month birthday. My husband and I had my daughter. We decided that we wanted to have another child and we just tried and two months later I became pregnant with him. I had reached out to the doula that we worked with for the first pregnancy. So I’m in Queens but I’m in the furthest part of Queens-- not the furthest part. I’m by the beach in Queens and she’s in Brooklyn and just where we are, it’s long to get to places in Brooklyn or in Manhattan and stuff. We’re just really far and it’s a long commute everywhere.So she had recommended this other doula who was closer to us from her doula community and we ended up clicking really well. I know when I first met her—Meagan: That’s awesome.Brenda: Yeah, it was nice. When I first met her on the Zoom call, she had just said—I just assumed I was going to need a scheduled Cesarean for the second time because this is now, they’re 15 months apart. It’s pretty close.Meagan: It’s close, yeah. Yeah.Brenda: Yeah, but she had said, “No, if you want a vaginal birth, you should totally do your research,” and she recommended The VBAC Link. So then we ended up looking into it and my husband was freaking out a little bit because he also just had in his head, “Oh, two years. Two years.” That’s what everybody is told.So once she recommended that I started listening to you guys and the more stories I heard, I was like, “Whoa. Okay.” I started researching, “How about babies who are born 15 months apart?” Just the shorter age gaps and stuff and I just kept hearing more and more and more, so then I decided, “All right. We’re going to try for a VBAC.”We ended up calling the midwife back again—Meagan: The out-of-hospital midwife?Brenda: Yes. She was in the hospital with us. She was with me through the C-section.Meagan: Okay, so not the birth center one.Brenda: No, so the birth center wouldn’t allow me back in either because of the Cesarean. Even if it was five years later, they wouldn’t take me on.Meagan: It was the fact that you were a previous Cesarean.Brenda: Yeah. We did meet with her the first two appointments and I did find out from a Long Island VBAC Facebook group because the hospital that we went to was in Long Island and I had seen a post that our midwife, someone else who was seeing our midwife, wasn’t delivering anymore. My husband is a New York City firefighter and another couple in his firehouse was going to the same midwife. They were also pregnant and didn’t know either, so I guess she didn’t tell anybody. It was really odd.Meagan: You were planning on giving birth with her.Brenda: Yeah and she did say too at our first appointment, “Yeah, if you go into labor by 39 weeks, you can totally try for a VBAC. If you don’t we have to schedule you by 39.” It was that same thing and then I found out she wasn’t delivering, and then I went to hop around to the other OBs in the office just to see if I clicked with anybody and every appointment for me just felt like another doctor’s appointment. They all said the same thing.In the VBAC group, somebody had mentioned a doctor from the practice and she had to fight with him to let her go to 41 weeks. I’m not a confrontational person.Meagan: Well and it’s hard because you’re already so vulnerable to have to walk in with your boxing gloves up, it’s not a great start. It’s not a great start.Brenda: Yeah, so I was just like, “I’m not fighting to want to go to 41 or 42 weeks. If I need to, the baby wants to.” So our doula and her doula community recommended the OB that we had switched to. My in-laws live next door and when I was talking to my mother-in-law, she was like, “Oh. That’s the practice that I went to when Sean was born,” but it was a different doctor. He had pa…

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Episode 226 Pat's VBAC Over 40 + Processing Your Difficult VBAC Mar 15, 2023

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Achieving your VBAC is an accomplishment worth celebrating, but it's also important to hold space for processing the difficult moments.Pat joins us today to share how she birthed both of her babies over the age of 40 as well as how she found a supportive team to go for her VBAC.She shares the importance of paying attention to your feelings when choosing a provider even if everyone around you feels differently. Pat experienced some traumatic events during her VBAC which left her feeling grateful for the outcome desired but unexpectedly having to grieve the loss of what she thought would be a dreamy and empowering experience.Additional LinksPat’s WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsMeagan: Hey guys, this is Meagan. I’m so excited for another amazing story. We are actually going to be talking about something that I don’t feel like we talk about a ton and it’s going to be pregnancy after 40. Even really 36, right? I feel like in the medical world, 36 is old. I’m doing air quotes because it’s such an annoying thing to be but we are going to talk about that. Pregnancy after 40 and what that looks like and how that may feel for someone. We have our friend, Pat, today from L.A. She’s going to be sharing her stories. She did have a VBAC and we talk about this often on social media and things like that where people may have a vaginal birth after a Cesarean and it’s the most healing, amazing, beautiful experience and then sometimes it’s not. So I’m excited to hear from Pat today and hear more about her experience. Review of the WeekBut of course, we have a Review of the Week so I’m going to make sure to get into that before Pat starts sharing her story. Just a fair reminder, if you guys have a chance, if you would please leave us a review, we love your reviews as you know. We talk about it all the time but really, they make us smile so much and we love reading them on the podcast. So push pause and go leave a review wherever you listen to your podcasts. This specific review is from Sarah. She doesn’t have a subject on it but she says, “I am a birth and postpartum doula who is always on the search for a birthy podcast to listen to in my car. I was so excited when I found The VBAC Link so I could listen to these amazing stories from women all around the world who reached their goals through becoming educated thanks to Meagan and Julie. I recently certified with The VBAC Link as well and I’m impressed by the thorough delivery with which their knowledge was shared in the training. I’m super excited to move into the next chapter of my career and I’m so thrilled to do so with an amazing community and support.” Sarah, I love it. Thank you so much. It is so awesome to have you as one of our VBAC doulas. Birth workers, if you didn’t know out there, we actually have a birth worker course on how to support your VBAC clients because again, we talk about it. It shouldn’t be anything more than just someone going in to have a baby, but with vaginal birth after Cesarean or a Cesarean I should say, and wanting to go for vaginal birth after Cesarean, there are hurdles that a lot of clients have to jump through. It’s so nice to learn how to support them so we have a certification course and we add you to our doula list and share you with the world. So parents, if you are looking for a VBAC doula, go to thevbaclink.com/findadoula and see if there’s a doula near you. Pat’s StoriesMeagan: Okay, Pat. I can’t wait. Thank you so much for taking the time today to be with us. Pat: No, thank you for inviting me. I’m so excited. This podcast has been such a big and helpful thing to prepare for my VBAC so thank you for that.Meagan: Absolutely, well I’d love to turn the time over to you. Pat: Yeah, I am Spanish so that’s why I have a weird accent but I’ve been living in L.A. for the last ten years with my husband. I have two kids now. One is two and a half and the other one is going to turn ten months in just a little bit. My journey started really late or later than other people here in the states. I always knew I wanted to be a mother but then I saw my friends having kids and saw what that really means to your life, so for a little bit, I was trying to decide whether I could really take on motherhood or not. I knew that if I were to be a mother, it would be in my late thirties. I really wanted to push it which makes sense now because if I hadn’t done that then, I would have different kids. I really believe in destiny and these kids were meant to be for me. So I think I’m happy with that. With that also came a lot of stress from the doctors. All this talk about the extra risks and how difficult or impossible it was going to be to get pregnant at 39. My journey, thank God, wasn’t that hard. I had an IUD, a copper IUD, and I took it out in January 2019. For the first three months, I didn’t get pregnant, but I also had weird pain and my period was really strange. I had an ultrasound and they saw that actually, I had an IUD inside of me even though they took it out. Meagan: What?!Pat: Yeah. It was so bizarre. I don’t want to get into details because it will take us the whole hour, but what happened was that someone along the way, and I had an IUD since I was 20 because I had DBT and I couldn’t take hormones so that was the way I chose to go. In those years, someone forgot to take out the old IUD and just pushed a new IUD inside of me. Meagan: Oh my land. Pat: It was crazy to discover that. So anyway, they took it out and three months after that, I was pregnant. That was October-November I think of 2019. So it was fairly quick for my age and everything. I was thrilled. My pregnancy also was super healthy. I did have certain things here and there but nothing that a younger person wouldn’t have. I barely had any morning sickness or anything. I did have a couple of weird symptoms. One of them was palpitations. I didn’t know that I had them and then towards the middle of my pregnancy, I started having not fainting, but lightheaded episodes where I really had to lay down in the street when I was walking my dog around several times We discovered that it was something regarding my breakfast really, so I had a thing for toast with peanut butter in the morning and I guess the way my blood sugar was doing something weird and I was really almost fainting in the street. Once a doctor told me to actually change that for protein and to have protein first in the morning. Immediately, that disappeared. Other than that, everything was great. I was feeling super beautiful with my pregnant belly and I was going for an unmedicated birth. I was really preparing mentally and physically for it. I did Hypnobabies. I was really in my head. I was obsessed with it as a friend of mine recommended me to be if I wanted to achieve it. I was doing all of the work. Everything was going great. Of course, we get into 2020. COVID comes in. My husband was able to still come into the 20-week ultrasound which was awesome, but after that I was alone and there was a lot of stress added to the pregnancy. I feel like it was toward the end of my third trimester that I don’t know why, but my mind started to lose its balance. All of the fear about motherhood came crashing down and the last few weeks, they were full of excitement but also fear. Everybody was like, “Are you so excited?” I was like, “Yeah, but I’m also so scared.” I felt guilty. I couldn’t talk to anyone about that. Because I was scared, people would think I am a bad mother or I’m going to be a bad mother. Anyways, we didn’t hire a doula which is important in this birth story because of COVID but I guess I didn’t know that I was going to need her so much. The doctor told me towards the end of the pregnancy that he was OP but that he could still move. I would feel the baby. He didn’t have space. I could feel that my belly was so tight. I didn’t think that he was going to move. I didn’t know anything about helping him position more than a couple of exercises I saw on Spinning Babies. When the birth started, it was after my 40-week appointment. I wasn’t very dilated. My doctor checked me and I was 1 centimeter and then she said that I wouldn’t probably go into labor for a few days. But then the next day, I woke up with contractions. They were light and just like period cramps every ten minutes. So I was excited but I also was in denial. “This cannot be. I’m only 1 centimeter,” which didn’t matter at all. I’ve learned that now. During the whole day, they went like that. They progressed a little bit in how painful they were, but they were ten minutes apart. Nothing was really happening so I just kept going. I had heard of prodromal labor, so I thought that maybe this was not it. By the time I went to bed, they were 7-10 minutes apart, but they were not super painful but painful enough that I couldn’t sleep during the whole night. Meagan: So tired, I’m sure. Pat: So tired. This was a Friday. So Saturday, it just kept going the same. Actually, the contractions got a little bit weirder. Instead of coming down and getting a pardon, they were all over like seven minutes to ten, five, and they were getting more and more intense as I would go but still, nothing was happening. Basically that night, I tried everything because I called my doctor and she confirmed that it could be prodromal labor. I had the feeling that it wasn’t, that it was labor that was not progressing because nothing would stop it, not any bath, nothing. So that night, I took some Benadryl and could sleep between contractions, but it was a few minutes here and there. But the next day, it was Sunday. I was so tired and then up to this point, I had been trying to move forward with this pregnancy and this birth. I would do exercises but at this point, I was scared because I thought, “I am going to get caught up in this level of pain for two more weeks and I just don’t think I can take it.” I tried to slow it down. I wanted to wait basically. I was also losing my mind a little bit. It was my third day with very little sleep. I didn’t know what was going on. I didn’t know how to cope with contractions, or how to breathe properly. This is where a doula, I think, would have made a difference. Obviously, my baby was not coming down, and just having someone with me that would have helped me position the baby better, I think, would have made a difference but it was what it was at this point. So another night without sleeping and we are on Monday now. The doctor tried to convince me to go in for a membrane sweep, but I really couldn’t get out of the house, so again, I lived in the bath. I was in the bath, in the bath, in the bath. Finally, my water broke a little bit. There was a gush of water but it was yellow. That’s how I could see it. I didn’t know what that meant, but obviously, it meant that there was some meconium. So my doctor told me that since my water broke, she felt comfortable waiting until the next day, but I had to be in the hospital at 7:00 AM on Tuesday. By that night, I think it was 1:00 in the morning when the pain was so bad and my mind was so out of it. I was even regretting being pregnant at this point. Just get me out of here. So basically, I told my husband, “Let’s just go because I don’t know what this is. I want an unmedicated birth but if this is nothing then I really need help because I just cannot go on like this anymore.” So we got there. The triage was horrible. It was hours until I was checked in. Discovering that I was only 3 centimeters was crushing, to say the least. Once I was there, I knew that an epidural would help me sleep and that’s what I needed. So by that time, they still did walking epidurals which I don’t know why they call it that because they don’t let you walk anyways. Meagan: It’s just a lighter epidural essentially. Pat: I know, but they should change the name. Definitely. So that really helped me. I slept for an hour and when my doctor came and checked me in the morning, I was 5 centimeters. I was at 0 station. Basically, the doctor said because of the circumstances, she thought that I had to be around a 6 by the time she came back later on. I thought it was achievable. I had a whole morning. By that time also, I had developed a lot of pain in my left side and in my right side. The right was a sciatica type of pain and the left was just my lower back. It was hurting a lot like my kidney type of thing. I was drinking water and drinking water and I just couldn’t get satiated. I kept laboring in bed. They didn’t mention the OP baby. They didn’t offer a peanut ball. Nothing, so I was there just surviving in bed. They wouldn’t let me get up, so I would sneak in between visits from the nurse and get up with my husband a little bit because I would feel my legs and everything. I needed to get up because it was so excruciating, the pain in my back when I was laying down. The doctor came at 3:00 PM and I was again 5 centimeters. Her fear of infection was clearly high. She was scared for me even if nothing really was happening. At that point, my water really, really, really broke and there was this green, thick layer. It was full of meconium coming out of me which I knew was only a matter of watching it. It didn’t mean that I could not have a vaginal birth, but it was a little concerning. The doctor convinced me to take Pitocin at that point. I started that at 3:30 and the pain in my sides increased. It was more and more difficult to try to stay in bed. A few hours later, I think it was around 9:00 PM, I had blood pressure issues. Everything was starting to pile up. There was a little bit of protein in my urine, but I had been given so many different infusions of liquids that my doctor chose to change one first before giving me my other medicine to see if that worked. That worked, but by that time, for someone who didn’t want any interventions, I was full of tubes everywhere to my uterus with a catheter, it was just really bizarre. During that time, I also had a resident come in. She was the chief of residents and she was one of the sources of my trauma really in the hospital because she was really disrespectful to me not only in her comments. When she saw me in pain, she said, “Oh, you wanted a natural birth so I don’t know what you expected,” and things like that. Also, she came and checked me and she really hurt me. I asked her to stop and instead of stopping, she pushed harder inside of me. Meagan: Oh!Pat: I didn’t even know how to react to that because she ignored me and she kept doing it even harder. I felt so violated by that and that just stayed with me. Meagan: I’m so sorry. Pat: Yeah, it was crazy. I continued laboring and the blood pressure resolved. The kidney was failing. They said it was damaged. That was why the protein was coming out on the tests. But with that change of liquids that they gave me, apparently, it just made it better. The pain was still there, but the protein disappeared. My blood pressure came down and that was really it. Around 10:30, following my notes, apparently, the baby’s heart dropped. It lasted more than eight minutes, but it wasn’t a big drop. That was also my first experience with everyone coming into the room screaming. This is another thing. I saw this chief resident talking to my husband about what was happening to me but no one was talking to me. They were yelling at me, “On all fours!”That was after I got up and they saw me up, so they were also yelling at me, “What did you do? This is all you. Go back to bed.” I was so scared. Yeah, but nobody was explaining to me what was happening. Luckily, they got that under control and then they explained to me what had happened. They told me to lay on my side really, really still. On that side, it really, really hurt almost like torture. A really well-designed torture. They had stopped Pitocin and they restarted it an hour later. Everything was going well, but again, after a couple of…

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Episode 225 Heather's VBAC + Postpartum Depression + Patient Advocacy Mar 08, 2023

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“I knew I was having a daughter this time. I was like, ‘I’m going to approach this as the model that I want her to have. I want her to know that she is empowered to make whatever choices she needs to in life and I need to practice that now.’”Though Heather’s two birth outcomes were very different, the most inspiring part is what Heather fought for within herself. Heather went from knowing she had a voice and being afraid to use it to knowing her voice and making sure it was heard. In the depths of depression and anxiety, Heather continued to be proactive and choose healing. Through vulnerability, therapy, patient advocacy, medication, and staying attentive to her needs, Heather’s second postpartum experience was drastically better than the first. Additional LinksHeather's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsMeagan: Welcome to The VBAC Link, guys. This is Meagan, your host, and today we have our friend Heather. She is from Kentucky and she is sharing her amazing story. One of the highlights of her story that we’re going to be talking about is postpartum depression which is something I’m really excited to talk more about because postpartum in general and Heather, maybe you would agree, I feel like it’s even more sometimes in preparing for a VBAC because we’re so hyper-focused on the birth and having this vaginal birth and avoiding a Cesarean and all of the interventions. I mean, really. We’re just so hyper-focused that we forget what comes after. Not just recovery after, but mentally and physically. All of the things, and so I’m really excited that you are going to touch on this today and I already want to thank you for your knowledge because I’m excited to hear what you have to say. Review of the WeekOkay, I have a review of the week and then we’re going to go into it. Does that sound good? Heather: Great. Meagan: This is actually a review of The VBAC Link course. This is from Ashley and she says, “TOLAC/VBACs should be treated just like any other birthing person but there is a certain preparation and information that needs to be offered to them and this course covered that. The value is held in your careful recognition of how to best support our clients who are doing a TOLAC.” I’m assuming Ashley is reviewing the doula course in this one. She says, “I cannot praise you two enough for the fear release activity. Honestly, it is something I can apply to even myself before and after birth and even in life in general. Thank you for that. It has already helped three of my VBAC clients.” Even starting right there talking about processing and fear release before going into birth can ultimately help us in our postpartum stages. Heather: Absolutely, yeah. That’s a big part of, I think, what I was working through in my second pregnancy. Heather’s StoriesMeagan: Okay, well then let’s turn the time over to you. Heather: Well thank you so much. I’m really humbled to be here today. I’ve heard so many amazing stories and I wasn’t sure that mine was really amazing enough, but I really just feel so strongly that talking about postpartum depression is important even now, even five years out of recovering still that I just really want to be there to help others who need that light. Meagan: Absolutely. Heather: All right, so I got pregnant with Theo in 2017. We made the decision in March and literally the weekend I had my birth control out, we looked at each other, and bam. We were pregnant. Meagan: Oh no way. Heather: So I was like, “Oh my gosh. This is amazing. Oh my gosh. I’m terrified.” I had no chance to really start processing this. I was still weaning down from my depression medication. I had been in treatment for depression a few years prior. I had been out of it but still on medication. I was feeling good. I was feel pretty stable. I thought going off of my medication was going to be great. So we find ourselves pregnant and oh man, that pregnancy was hard. I was sick. I was exhausted. I’m a performing musician and teacher of music, so I was getting through my days with little kids and getting to gigs and driving and throwing up in the car on the highway. Meagan: Oh, bless your heart. Heather: I’m still processing this whole, “Wow. Our lives are going to change.” I was really excited too, obviously. I was really happy to be starting this but we were really apprehensive heading into that. I was due Christmas Day that year, so starting in November, we started getting serious about birth prep. We did a very comprehensive birth course. I was seeing midwives for my care during that pregnancy and I thought they were just really great. They had the same view I did. I was really happy with the care I was receiving. It was very encouraging and just like, “Whatever it is that you want, we will get this for you.” The hospital I was going to deliver in had nitrous. It had one room with a tub. It had showers in every room. It had obviously the epidural and the IV meds. I felt good about the options, although something inside of me really wanted a more natural kind of experience. I think looking back, I really did want a home birth, but I was scared and it’s expensive, so this is the direction that we went in. Our birth prep, like I said, was very comprehensive and on top of that, I was reading books. I was making sure that I was informed in case of a Cesarean. I knew about the cascade of interventions and coping with contractions and stuff. We got to the end of that video class and oh my gosh. So they do this, “Congratulations. You’re going to have a baby.” I was just like, “Oh my god.” I was terrified. To be perfectly honest, my husband wasn’t much better. It was about another four weeks before I actually went into labor since that moment and it was an exciting time. I got through 39 weeks at work and then I stepped back because as an organist, I wasn’t going to be playing the day before my due date. My due date came and went and he didn’t come. I was very thankful for that because as an organist, I did not want to have a baby on Christmas Eve. Christmas Day would have been preferable frankly. Meagan: I was going say, did you guys have performances at all? So you took a step back but did you have Christmas stuff at all? Heather: I had backed off by the week before Christmas. Meagan: Oh that’s so nice. So you completely stopped. Heather: Yes. So 39 weeks on, I was on maternity leave. I had some Braxton Hicks, nothing really, not moving too much. I got to 40 weeks. My mom came. 40+1, we go for a walk. 40+2 I think is when I had my next appointment with my midwife who was one of the two midwives I had seen in the office and she was the one who actually was still doing hospital deliveries so we were like, “Okay, let’s get in to see her a few more times in case I possibly see her,” which I did. We decided to do a stretch and sweep. It kind of went. It was possible. I was pretty high and closed and stuff, but I think the sweep worked. I didn’t really experience much from that. My mom was like, “Well, I’m going to go see my sister in the other state,” so we had some space again which was really nice to have. Thursday that week, I go to my massage guys who are also acupuncturists and I was like, “Get this baby out of me.” They were wonderful people. They are not prenatal or anything. One of them is from India and he was like, “So your baby is a little bit over here and is not pushing on your cervix.” He just lightly touched my belly and it was so gentle. Then I had some acupuncture and they left me to chill. Then Friday comes the next day and that evening, I just had a sense. I was like, “Hmm.” I don’t know. I was just feeling this. So that night, I went to bed on the couch downstairs. My husband was upstairs. I woke up around 3:00 or 4:00 AM and I’m like, “Yeah. I’m having contractions.” I was like, “Okay, early labor. I’ve got to rest.” So I went and crawled into bed with my husband and that was just a no-go. It was too painful. I pretty quickly got out of there. Mostly, I would labor bending over, leaning over something. We did lots of different places. I was at home for a good 7-8 hours probably. I was feeling pretty good in early labor there. I just had some food, keeping it light. My husband was packing his bag because of course, he hadn’t packed ahead of time. I guess contractions probably started around 4ish. I took a bath. I know you’re not supposed to slow them down, but I was like, “I need to rest.” Meagan: This is the thing with taking a bath. I don’t want to say full-blown labor like you’re not in labor at all, but if it’s going to progress, it’s going to progress and water’s not going to stop it. If your body responds by slowing down and taking a break, that’s probably what it needed. Heather: Yeah. It still continued. He would put Netlifx shows on for me. He’d put stuff on for me. I’d be breathing through the contractions. After the bath, I guess shower, then bath. I don’t really know. I started having to moan through contractions and they started, “Okay. I’m doing my low breathing. I’m feeling good.” I was feeling like, “Okay. I’ve been prepared so far.”Around 11:30-noonish, things started changing and I started getting antsy and anxious. Contractions started coming much closer together. It was probably about three minutes apart. They’d been a minute long for hours at that point, so we knew that we were really in labor. I was definitely starting to get that worry, that anxiety going then. It was like, “We’re not at the hospital.” We weren’t far from the hospital, but I was like, “We need to get there.” I remember I was using the bathroom and laying down was a no-go. The toilet was absolutely excruciating. It was really intense when I hit a contraction. My dear, sweet husband comes and jokingly brings me something to put on that was lacey underwear or something like that. I was like, “You just do this. We need to go.” I was not having any of it at that point.So it was like, “Okay. We’re definitely ready to go.” We got in the car probably at about 12:30 and we head to the hospital. Man, the car ride contractions were not fun. I’m going, “Ohhh.” I start going, “We’re going to have a baby.” Meagan: All the emotions. Heather: All the emotions. I mean, it was funny but it was also like, I was starting to become a little unhinged there. I had gotten out of my safe, comfortable, “I’m in a space. I’m in a zone.” Looking back on it, I realize now that I was starting to experience back labor. That was still a whole extra level of, “Oh my god. I’m not prepared. This is really intense.”We got there. I insisted on walking the whole way. Meagan: Probably good for you though. Heather: That’s what I was thinking. I was like, “I don’t want to have interventions. I want to get there as late as possible so I’m going to walk.” Every 30 feet, we were stopping to moan through things. We go to where we think triage check-in is and it’s moved because they were doing work. So we were standing there and my husband’s calling the midwives to come from across the hall. It was ridiculous, but the midwife was like, “Let’s get you a chair.” I didn’t really want it, but they could tell that I was in labor. I get to triage and they check me and I was 5 centimeters. I was so excited. I was a first-time mom. I’m halfway there. This is awesome. I’m freaking out though. So I’m freaking out and I’m there and okay. It’s time to admit me. I knew my preferences. I knew in my heart what I wanted and I didn’t ask for that. Meagan: You can’t say it probably right? Heather: Yeah. I thought, “I want a water birth. I want to ask for the tub room, but what if I don’t end up doing a water birth and I’m occupying it and I’m taking it from somebody else?” All these I would say people pleaser things came in. I was like, “You know, I want to get in the shower. I want to labor back in the shower,” but I was starting to shake. I was getting scared. I was getting more and more scared and just feeling out of control. So I was just like, “I’m progressed enough. I want an epidural,” even though I knew I didn’t really want an epidural. I was having this back labor. I had been laboring for a long time. I was 40+5 and I was tired. You’re not sleeping well by that point. The midwife was great. She was supporting me. She was applying back pressure and a lot of tailbone pressure, especially with the back labor and it was really helpful, but I eventually got the epidural. The first one didn’t take. They did another one immediately and that one only half worked. They put me on my left side because I could feel my contractions all the way down my left thigh. It was really, really intense. The medicine worked that way. I guess we got some sleep. A few hours later, they come to move me to my right side. A few hours later, they move me so I’m sitting with my legs and knees out. That was all they moved me. I couldn’t really move. Over the course of having to move, the epidural definitely started wearing off on my left side again. Then shift change happens around 8:00 PM and the midwife that I had been seeing comes on. I was so happy. I was so happy to have her because she was wonderful. She comes in and the room is dark. She checks me and I’m complete. Well, I’m almost complete. She’s like, “there’s a bulging bag of water. We could break them and start pushing or hold off on pushing. What do you want to do?” That voice inside again says, “I want to labor down. I want to have some time to really feel the urge to push,” but baby was having some heart irregularities, so I was like, “Well, then let’s go ahead and break my waters. We’ll start pushing.” Even though in my mind, that really wasn’t what I wanted. Meagan: Your intuition it seemed like so far has been saying one thing, but then your voice said something else. Your mind talks you into something else. Heather: Absolutely. I think that’s really the motif throughout that whole labor. My intuition was in one way and what I was agreeing to and saying I was okay with was another. My midwife was very great. She wasn’t pushy, but having a baby who has nonreassuring heart tones, not dangerous yet was like, “Okay. I’ve got to consider this as well.” So on one hand, I wasn’t thrilled to be accepting breaking my waters, but I wanted to know that he was in a good position. I didn’t know it was a he, but I wanted to know that baby was in a good position, but the labor nurses were like, “Oh yeah. Baby’s ready. Baby’s ready.” Meagan: And you don’t really know about back pain at this point. You kind of maybe do because it’s half working, but you’re not feeling it the way you were feeling it so you couldn’t even really identify where he was at. Heather: Yeah, exactly. I’m a first-time mom. Meagan: You don’t know what you don’t know. Heather: No, you don’t. We start pushing and they were pretty good about letting me push on my sides and on my back. They would turn me to my left side and I would push. They would turn me to my right side. I would push. I did a lot of pushing on my back which was probably where the more effective pushing was happening. At this point, my temperature has been climbing so that was one of the reasons why my midwife wanted to break my waters was because my temperature had climbed a bit. She said, “Sometimes with an epidural, that can happen but if it keeps going and it becomes a fever then we know that it’s not the epidural and it’s an infection.” I’m thinking, “Okay, then we’ve got to get this baby out.” I’m pushing and an hour goes by. My husband is watching me get sicker and sicker. My temperature finally breaks into a fever around 9:30-9:45 PM. By this point, I definitely have a fever. Baby’s heart is not tolerating it well and I’ve not made much progress in pushing. So my midwife starts consulting with the obstetrician who is overseeing her who comes in and she says, “We need to get this baby out. Our options are C-section and vacuum.” I’m like, “Well,…

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Episode 224 Abby's VBA2C After a Pulmonary Embolism Mar 01, 2023

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Abby has always had a heart for birth. She became doula-certified long before becoming a mother and even introduced her husband to The Business of Being Born on their second date! She knew that undisturbed, physiological birth was the way she wanted to go.But Abby’s birth experiences were filled with wild twists and turns including chorioamnionitis, posterior and breech positioning, pulmonary embolisms, hemorrhaging, multiple miscarriages, an ICU stay, and many blood transfusions. With the odds stacked against her, Abby did not give up the fight. She knew deep in her soul that a VBA2C was something she could do.AND SHE DID!Fresh off of her VBA2C, Abby shares every intense, tender, and raw moment of her journey. We know you’ll love Abby just as much as we do.Additional LinksAbby’s WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsMeagan: Hello, this is Meagan with The VBAC Link and today we have another beautiful story for you. We are so excited to share all of these stories in this beautiful 2023. It’s going to be a great year. That is what I keep saying. It’s going to be a great year. No more weird viruses and all of the things. It’s just going to be a good, positive year and we are starting this week out with a positive VBAC story. We have Abby with us today and she is from North Carolina. Is that correct? Abby: Yes, Charlotte, North Carolina. Meagan: Yes, I love it. We have quite a few doulas in North Carolina as well. Maybe you guys could all connect. She is actually a doula as well. She is not practicing right now because she has a whole bunch of little bodies around, but this birth has totally motivated and boosted her spirits into the day that she does get back into doula work. So Abby, welcome. Review of the WeekMeagan: I am going to share a quick review and then we will jump right into your beautiful story. Abby: I can’t wait. Meagan: Me neither. I really can’t wait for your story. This is PaigeBroadway. She shared her review and it was on Apple Podcasts. It says, “Allowing me to believe in myself.” Just that subject right there makes me so happy because that is exactly why The VBAC Link exists is allowing you to believe in yourself. We talk about this all of the time. It’s to believe in yourself to make the decision that is best for you. We don’t always have to have a VBAC. We don’t always have to have a repeat Cesarean. Or maybe a VBAC is chosen to a repeat Cesarean or a scheduled one. It doesn’t matter the way we birth, but as long as we believe in ourselves and we believe in our ability to make the right choice for us, that is exactly what this podcast is for. Her review says, “My husband and I are currently trying to conceive. I knew immediately after my C-section that I never wanted to have an experience like that again. This podcast has already given me the strength to switch providers and the knowledge to prepare for a VBAC. I can do this.” Paige, you absolutely can do this. Just like all of the others here, right? Right, Abby? Do you feel like that?Abby: Oh my gosh. That is just the most encouraging thing and that’s how I felt about The VBAC Link for five years and now I’m here telling my story. So yes, Paige. You can do it. You really can. Meagan: Yes. You really, really can. We always accept more reviews. You can drop us an email at info@thevbaclink.com or Apple Podcasts or Google Play. You can send us a message on Instagram. Wherever it may be, we love to read your reviews. We love to receive your reviews. So definitely if you wouldn’t mind, push pause and drop us a review. Abby’s StoriesMeagan: Hello, women of strength. This is Meagan. I am so happy that you are listening to the podcast. When I was preparing for my vaginal birth after two Cesareans, it was hard to find the evidence-based information in one spot. It could lead me to feel lonely or even confused. This is why Julie and I created The VBAC Link Podcast. Did you know that we also send out emails with helpful tips and advice on how to achieve your VBAC all easily digestible in one email form? Just head over to thevbaclink.com. Okay, Abby. We have so many stories on this podcast and I know that like you said, here you’ve been for five years and now you are here sharing your story. You are just fresh. You are fresh out of it, right? 2 weeks? Abby: Very fresh. I just stopped wearing Depends the other day. Meagan: Oh my gosh. I love it. That is fresh. That is fresh out of it. Abby: Very fresh. Meagan: Fresh out of birth. Sometimes I feel like right out of birth is so fun because again, it’s so fresh and it’s in the forefront of your mind so you have all of the detailed things to share. I am so, so, so excited for you to share your story. So go ahead. Abby: Oh my goodness. Well, I should start at the beginning about five years ago. My daughter is turning five on January 31st, so it’s been almost exactly five years since she was born. I went to a doula training when I was 20-22ish years old way before my husband and I met. On our first date, he told me that he didn’t want to be in the room when the baby was born. I literally told him that he should go on a date with someone else because it was so important. I was like, “This isn’t going to work out.” I showed him The Business of Being Born on our second date and he has changed dramatically since then. Meagan: Oh my gosh. I’m dying. Abby: But I feel like that just gives a little bit of a background of who I am as a human being. Meagan: And your passion. Abby: I feel very strongly about it. Yes, yeah. I was really quite young. Honestly, I have to give a shoutout to a friend of mine who is now a midwife but was a doula at the time. We went on a mission trip to Africa. We were sitting on a bed in Uganda and she was talking about how beautiful birth was. I was a teenager. I think I was soon to turn 21. It was like, “Why would you not get an epidural?” I was very far away from childbearing years at the time. I just didn’t understand. She just sat patiently with me and explained in such a beautiful way how beautiful birth is and that it can create a mother and that it’s worth it to go through what you go through and come out on the other side of it. It was just such a meaningful conversation for me. It really shifted my whole worldview and made me who I am today. It’s interesting thinking back on that girl who would have said, “Why would you not get an epidural? Why would you want to have a natural childbirth?” to the way that my stories ended up which is just bananas. Needless to say, I was very crunchy and felt like, “Okay. I’d love to have a home birth.” It was my first baby, so my husband was like, “Maybe we should do a birth center.” At the time, there was a birth center in Charlotte, so that’s the direction that we went. I was just picturing the twinkle lights and a tub and all of the things that you see on Instagram for birth. That was the mental picture that existed in my brain. At that time, I was listening to another birth podcast and I specifically remember skipping over C-section stories. I was just not interested in them. I didn’t even think it applied. It wasn’t intentional. It was, “Oh, well I don’t need to listen to those because I’m not going to have a C-section.”Meagan: That’s not what I’m doing. Exactly.Abby: Yeah, that’s not what I’m doing, so why would I need to listen to that? In retrospect, that really messed me up and I love that y’all’s podcast mentions that this is a podcast for all moms. This does not need to just be people who have had C-sections. I think listening to The VBAC Link can help you prepare to a) not have a C-section, but also prepare for a C-section if that’s what has to happen for you. It was just a really difficult transition for me from the twinkle light picture to ending up with a C-section. But my pregnancy with Hadley was fine. It’s funny because I’m older now and I’m like, “Oh, that pregnancy was great.” I was in great shape and I was much younger. Everything was fine and easier. I did have a rib pop out of place. I know now that she was sunny-side up for almost the entire pregnancy, so my whole third trimester was excruciatingly painful. I had never seen a chiropractor before that, so I went to a chiropractor eventually but it was really just like bandaids. It wasn’t really helping because my body was not in the right condition beforehand. I’m a really big proponent of bodywork. That will come back in the rest of my story. But at the time, I didn’t know what I didn’t know. I was in a lot of pain toward the end, but other than that, everything was fine. I went overdue which I expected. I was excited when I made it to 37 because I was still allowed to be at the birth center. I think I was probably pretty ready. I tried to do some induction acupuncture, and I’m not sure if it actually did anything but a couple of days later, I started having what I felt like were contractions. I had never been in labor before, so they were two minutes apart but really, really short and not getting any longer. I was just confused.My doula-gut was like, “This feels off, but also I’m dying.” I don’t know what to do about this. So we called my doula over and went to the birth center after almost 48 hours of having those contractions at home. Again, if I knew then what I know now, I would have taken a bath and had some Epsom salts. It was probably prodromal labor. We went to the birth center and I can’t not tell this part of the story. I told the midwife, “If you tell me that I’m 1 centimeter, I’m going to kick you in the face.” She backed up because I was only 1 centimeter. Oh, I was like, “No, don’t back up. Come in my face and tell me I’m a 4 or something.” I just knew at that point that it was over because I was like, “I’m so tired. This is the point when I’m asking for an epidural and I’m 1 centimeter.” How could I possibly get through this?The worst news was yet to come. She said, “You have to transfer to the hospital. You have a fever of 100.2.” She thought that I had chorio. I think, I don’t know how to say the actual word. It’s chorioamnionitis. Meagan: Yeah. That’s why they call it chorio. Abby: Exactly. Meagan: Infection. It’s an infection. Abby: Right. It’s a uterine infection. She said, “I’m sorry. I’m diagnosing you with a uterine infection. You have to go to the hospital.” I was just devastated. Honestly, that was the point of my birth where I feel like I really lost all of my power as a person and a mother. The rest of the birth felt like it just happened to me. I was not an active participant. I went to the hospital and they said, “You actually don’t have a fever,” because the hospital system’s standard of fever is over 100, and at the hospital, I was 99.7 or something. So they said, “You don’t have a fever. We’re going to let you labor.”Meagan: So it went down?Abby: I don’t know if it went down or if it was just a different thermometer and they were like, “According to us, you don’t have a fever so we’ll let you labor.” In retrospect, it was good news because if they had just sliced me open the second I got there, I probably would have never set foot in a hospital again and that would have been very bad news for my second birth. So I think that would have really turned me off of the medical system altogether and doctors. I just would have gone real red pill in the other direction. So they let me labor, but I ended up with an epidural at 1 centimeter. I tried to get in the little dinky shower at the hospital and it was cold half water. I was like, “This is doing nothing.” I wanted to be in the tub at the birth center. I ended up with an epidural flat on my back and at that point, you’re like, “Well, who cares? If I’m already here, why not do Pitocin? Why not break my water?” So thus began the cascade of interventions ironically that started with an epidural. I feel like that’s not always the case, but that was very much the cascade of interventions for me. I did not want them to break my water, but eventually, they did. I was there for three days and they really let me go for a really long time. Meagan: That’s actually really impressive for a hospital.Abby: I was so pleased with the care that I received. Both of the OBs that were flipping on and off of call were very patient with me. I think they kind of knew, “Oh, this is one of those birth center moms. We might as well just let her try.” Meagan: Let her do it. Abby: That was kind of a vibe that I got, but it was genuine. They really were like, “Yeah. You can totally do this.” But really, it was an unnecessary induction because I was 1 centimeter and I wasn’t really in labor. I wasn’t having true labor contractions. I wish that I had just gone home and gone to sleep, but we wouldn’t be here having this conversation if that happened. I got to 10 eventually and I made it to pushing eventually. The epidural that I had was so strong that I could not feel from my shoulders all the way down. I was numb. I’ve never been so numb in my life, but again, I didn’t know that’s not what an epidural was supposed to feel like. They were telling me to push and I was just like, “What do you mean?” They told me to lift my legs up and I was like, “I can’t hold my legs. They weigh 4000 pounds. What are you talking about?” The nurses were not as kind as the OBs and I could tell that they were not approving of my pushing and that it wasn’t doing what it was supposed to be doing. But the benefit of Hadley’s birth, she asked that I say her name on the podcast, so the benefit of Hadley’s birth was that by the time I made it to 10 and pushing, they tried to use the vacuum seven times. They tried all of the things. They really, really let me go. So by the time they said it was time for a C-section, I really trusted them. I didn’t feel like it was a snap judgment. I felt like, “You know what? Okay. I agree. If this isn’t working, it’s not working. There’s nothing else we can do.” So come to find out, she was sunny-side up. Meagan: I was going to say, was she sunny-side up still?Abby: She was. She was. So when they had broken my water, she basically got stuck up in that broken rib cage and never made it around my pubic bone. I also did have chorio we found out after. Meagan: Oh no way. Abby: It was just the wildest. We joke that it was a Murphy’s Law birth and that every random thing could have possibly happened, but everyone was fine. I was fine. Hadley was fine, but it was deeply traumatic for me. I really did not feel like I was present for it at all. It was really difficult to feel like I wanted to have this empowering, personal experience and it was so impersonal and medicalized. I was separated from Hadley for the first few hours of her life and they took me into, I don’t even know what it’s called, but it was a terrible experience. My husband was super traumatized because it wasn’t what he thought was happening either and it was really, really difficult for us. That is really when I started listening to The VBAC Link right away. I was like, “Done. I’m having a VBAC. That was terrible. I’m not doing that again.” I felt pretty strongly about that. Unfortunately, it took us two and a half years to get pregnant with our second. We had three miscarriages along the way, so a lot of our story has been “not right nows” and “maybe laters”. We are really thankful for the children that we have which is wild how they all got here at the correct time. We were filling out adoption paperwork in January 2021 after so long of trying and found out on February 1st the day after my 5-year-old’s third birthday that we were pregnant. It was the darkest line I’ve seen since I was pregnant with Hadley. It was like, “This is the baby. This is the one. She’s going to stick around.” I felt like this was my VBAC. I don’t know if that was just my personality and my, “Oh, this is going to happen. I’m going to manhandle this into being the case,” but I very much wanted it to be my VBAC. That…

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Episode 223 Mikaella's Precipitous VBAC + Overcoming Trauma + JULIE! Feb 22, 2023

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We are so excited to be joined by Mikaella as our guest and our dear Julie as a cohost today! Mikaella’s VBAC story is one of redemption, healing, and embracing the unexpected. By allowing herself to recognize that her Cesarean birth was traumatic, Mikaella was able to begin her healing journey and prepare for her VBAC. As her birth progressed, plans changed from a faraway hospital to her local hospital to a fast and furious birth at home! Julie, Mikaella, and Meagan share thoughts on the importance of acknowledging our traumas and how to avoid comparing them to others. Additional LinksMikaella’s InstagramClark Film and PhotoHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsMeagan: Good morning and welcome to The VBAC Link or maybe it’s the afternoon or evening or I don’t even know. Whenever it is that you are listening, welcome to The VBAC Link. This is Meagan, your host, and guess what, you guys? We have Julie today as a cohost!Julie: Yay! Hi. Meagan: It’s always so fun to have Julie on and today is actually one of her own clients which is super fun. I love when we have a doula client on the podcast because you can just connect with the story and people are bouncing back and forth, so it is so fun. She is here from Utah, so we are all Utahns today here on the podcast. Review of the WeekWe’re going to jump into a review, and then I’m going to tell you more about our guest Mikaella. Julie: Yeah, I’m so excited to be here. I was a little nervous this morning. I’m not going to lie. It’s so strange being on here as a guest instead of a regular host. I don’t know. It’s just this weird little thing, but also I wanted to clarify that Mikaella is actually a birth photography and video client of mine. She had a separate doula, Jenessa who is incredible. But she’s going to go into that more in her story, I’m sure about it. I do have a review and I love this review. It’s incredible. It was by springr and the title of the review is, “Wow, Just Wow.” I love that. She says, “I’m what I like to consider a still pretty new mama, but I’m also a C-section mom. For a while, I really thought that’s what I would always be. I hit some pretty dark places, but this podcast has given me light. I listen to multiple episodes a day and have a long stream of notes on my phone.” Let me add, I’m not pregnant again, but that’s how prepared I want to be when we do get there for our next baby. This podcast has given me my first tool to get there. Recently, as quarantine life has become the new normal, I’ve almost always got an episode buzzing in my ear. My husband says I’ve got a bit of an addiction. I snapped back really quick and said, ‘I’ve got hope. It helps me believe in myself.’ He quickly got quiet.” Meagan: Oh my gosh, I love that. Julie: Yeah. “These ladies answer personal messages asking for help. I just can’t say enough good things. They are that good. This podcast is just that good. Thank you from the bottom of my heart.” This sounds familiar actually, this review. It might be somebody that has contacted me and wants to hire me as a doula when she gets pregnant. Now I’m just thinking because that review did sound a little bit familiar. Anyways, we’ve been talking for a bit of a year now and she’s not even pregnant. Anyways, it might be. Who knows, it might be completely random and somebody else but when she said personal messages, I was like, “Oh, maybe.” Thank you so much to whoever left it. Meagan: Maybe. Well, I love that review. And you know what? That’s okay if you are addicted to a podcast. I have podcasts that I’m addicted to and I always have an AirPod that I actually have lost now. There is one missing because apparently, I can’t put it right back in the case. I just sit there and I listen to my podcast in one ear and then do life in the other while I’m doing things and that’s okay. I love it though. I love that this podcast gives you hope. That is exactly why this podcast is the podcast. That is exactly why it is here. It’s to give people hope, inspiration, and motivation, and to empower you to make choices that are best for you for your birthing day. So thank you so much for that review. Mikaella’s StoriesMeagan: Okay, Mikaella. We are so excited to have Mikaella on. Mikaella: Hi. Meagan: Hi, yes. Thank you so much for taking the time today. You have a lot of things. You’re a photographer, right as well? Mikaella: Yes, yep. Meagan: Okay, and then you have three kiddos and you have been a 911 dispatcher for five years. Love that. That’s really cool. I love that you say trash reality TV is your guilty pleasure. That is so funny. I love that you also love Taco Bell because I have this weakness for Taco Bell too. In fact, we just went on a weekend trip for my daughter’s gymnastics meet in St. George, Utah and we got a taco from St. George. You guys, it’s the best Taco Bell taco I’ve ever had. Like seriously, St. George does it right. So when you are in St. George next time, you should go to Taco Bell. Julie: Meagan and Mikaella, you guys. I’m sorry but Taco Bell is not very good. Meagan: Do you know what? It depends on the Taco Bell because the Taco Bell by my house sucks. But St. George, holy cow. Even my husband was like, “That was the best Taco Bell ever.” I was like, “Right?” So I love that. I love that so much and I’m so excited to dive into this story because I love hearing the big baby stories. It sounds like you heard, “Big baby, big baby, big baby” for so long and so many people telling you that you’re not a good candidate for VBAC, and then boom. Julie: Boom. Mikaella: Basically, that’s the best way to put it. Meagan: So let’s turn the time over to you to share your stories and how this big baby and a non-VBAC candidate mom rocked her VBAC. Mikaella: So I have three kids. I have a five-year-old Claire, a three-year-old Boston, and then Charlie is my VBAC baby. I feel like Charlie’s VBAC story really starts with 21-year-old first-time mom Mikaella who knew nothing. I was along for the ride. I had no interest in pursuing any sort of birth education or anything like that especially with my mom’s own traumatic birth history so I was like, “Whatever happens happens. It’s fine.” For my first birth, that was okay. It wasn’t that big of a deal. I do wish I had been equipped with more knowledge, but it was smooth sailing for the most part. She came on her own the morning of my scheduled induction so I was already in labor when I got there anyway. My body was doing what it was supposed to do. She ended up being vacuum assisted because she was posterior and then it ended up being a trend with all of my babies with them being posterior so that was a really big worry I had with Charlie. It just felt like a normal birth experience. And then Boston because Claire’s was so normal, I went in feeling like, “Oh, nope. I’ve got it, no problem.” Then I was talked into an induction because I was along for the ride. I didn’t know the ins and outs and the cascade of interventions and things like that. I was induced about a week early with him. Both he and Claire, my labors were about 12 hours long with lots and lots and lots of pushing. But with him, I felt completely out of control from being induced and having my dura nicked with the epidural. Then I had some major blood loss that was still unexplained there in the middle which was pretty traumatic. With him, I pushed for hours as well and he was just not coming out. He was so stuck. My provider was not pushy at all actually. He was very, “Here are your options. You can keep pushing. We can try a vacuum with him too, but if he gets stuck, it’s going to be more complicated with him being farther down the birth canal.” So we opted for a C-section with him. I don’t know. I think I reacted really strongly to the extra medication because I was numb from the chin down. It was a very unpleasant experience which just added the whole out-of-control feeling. I went in there and as I’m feeling them tugging, I didn’t feel any pain which was great. I was feeling the tugging and then everybody starts laughing. I was like, “This is not the time to be laughing. What is going on?” They pulled him out and were like, “He’s huge.” He was. He was a 12-pound baby. There was probably no way I was actually going to get him out on my own, but ever since having him, everyone was like, “Oh you just make big babies,” because my first baby was 8 pounds, 9 ounces. He was 12 pounds. Julie: And he’s still such a big kid. Mikaella: He is a really big kid. Julie: He is so cute. Mikaella: He’s bigger than all of the other kids in my preschooler’s class and he’s only three. He’s just big like my whole mom’s side of the family. So after his birth, it took a long time to be able to talk about it out loud. I posted a really watered-down and foggy version on Facebook as a birth announcement post, but I don’t even remember writing half of it. I just remember feeling traumatized but not that the trauma was valid because I knew people with worse stories and that was something that I had to come to grips with. My trauma was still valid despite it not being maybe as bad as somebody else’s. Meagan: Totally, yeah. Mikaella: I knew we wanted more kids, but there was so much anxiety surrounding the decision of when to have more kids so there was a little bit more of a gap between Boston and Charlie. I was still pretty afraid of birth until I had a life-changing experience attending a birth as a photographer. It was actually for Jenessa who ended up being my doula later down the road but it was this beautiful, intimate home birth. I found it so healing. She was singing through her contractions and the atmosphere was just so sweet and loving. She was definitely in charge and she knew what she wanted. She was a practical stranger at that point, but it was still such a positive experience to watch her have such a positive birth experience. It was life-changing. So then when I got pregnant again, I knew I did not want a C-section just based on how the last one had felt. I didn’t even want an epidural based on the spinal headache I had gotten with my dura being nicked. I felt like having the epidural and not being able to move around during labor contributed a lot to both of my babies getting stuck, so I felt like being able to move in labor was going to be really important to me. My OB who delivered Boston was actually super supportive but I wasn’t allowed to VBAC at the hospital. Where I live is a really rural area. He said he would send me north whenever I went into labor, but I really wanted to know my birth team. With that it option, it was just, “You get who you get and hopefully they’re supportive of a VBAC too,” which I think we’ve all come to realize is hard to find VBAC-supportive providers. Meagan: Very, very, yeah.Mikaella: So when I was looking for a provider, I went through so many, but I began my research. I met with multiple providers and I just kept hearing, “You make big babies. You make big babies,” because Claire was 8 pounds, 9 ounces, and Boston was 12 pounds. “You just make big babies and it would just be easier for you to have a C-section. Here are all of the risks and complications of a VBAC,” but no one wants to talk about the complications of a repeat C-section, right? This one particular OB, I don’t know if I can shout him out because he might be really upset. I want to make sure that no one else looking for a VBAC goes to him. He didn’t even give me the decency of a conversation before completely shutting me down. I had gone in. I spoke with the nurse. She was like, “Whatever you want, you get. You are the birthing mom.” I was feeling on cloud 9. I was even texting my husband, “This is going so well,” as she was checking me in. I guess the casual conversation that I was having with her about my birth history, she relayed to him in the five-minute span before he came into the room and that was all it took for him to decide that I was not a good candidate for a VBAC at all. He didn’t want to talk about the preparations I had made, that I had a doula, that I didn’t feel as big as I was with Boston. None of that even mattered. Meagan: He just put a label on you and was done.Mikaella: Immediately. Immediately. There was no conversation about any of it. Not about my birth history. Even my original OB who delivered my last baby was like, “No, you can do that. That’s fine,” but it just said that it made him and his staff uncomfortable. I ended up at Valley Women’s Health, the Orem Midwives’ Group at 35 weeks pregnant and I just stuck with them because they were the first ones to not tell me no right away. There were still some things that I was hesitant about. There was a lot of, “You’ll have to do this and this and this. These are the requirements, but sure. We’ll try,” kind of thing. I did, however, have to go through a VBAC consultation at Utah Valley where they all discuss the risks of a VBAC. Nothing about the risks of a repeat C-section of course. They had me sign all of those forms and then had me do a growth scan which showed Charlie being about three weeks ahead. She was going to be absolutely massive according to them. I did not feel big at all at least compared to my last two. I was more active in this labor. I was eating healthily. I was doing all of the stretches and sitting in the right positions to make sure that she wasn’t posterior too. I just felt like I could do it. It really helped to feel like I was going to be in charge of this birth. My doula was very, very supportive all the way through. She was just like, “No. You’ve got this. You can do this. I know you and I know your willpower,” so she was a huge support that way and as well as my husband. He’s never not backed me on anything. He’s great. I should also add that the hospital where I was going to deliver is about an hour and a half away from me. Only like what, five minutes away from you, Julie? Julie: Yeah, it’s about 20 minutes from me, but super far from you. Mikaella: Okay, you’re a little bit further. I was thinking it was only about five minutes away. I was preparing to labor in the car. They had been like, “Are you sure you don’t want to be induced?” I was like, “Nope. I don’t want to intervene with this at all. My body is going to do its own process.” I was mentally preparing myself to labor for an hour and a half in our van. I had my husband get the puppy pads ready and line the bottom of the van with the puppy pads. I woke up to my strongest contraction at about 4:00 AM and that’s when I began timing them. I got in the shower to see if they would get closer together and then they started getting closer together really fast. The timeline is kind of foggy, but the contractions were so strong. I texted my doula at 5:30 letting her know that my contractions were about 5-7 minutes apart and that I was going to try and leave soon. She was going to have plenty of time because she was right next to the hospital, but in reality, I had only maybe two more contractions that far apart. It was just happening and happening really fast. I called my mom. She was getting ready to come over and I woke up Preston and had him load up the car while I was getting dressed. I do actually wish I had had him with me during those moments, but at that point, I thought we were still going to make the hour-and-a-half drive to the hospital, so I was like, “No. Get this. Get my bag. Get my charger. Throw all of the things in there,” the last minute things and grab whatever. Just throw it in the van.So he was running around like crazy trying to make sure he’s got everything. I couldn’t even get my pants on in between the contractions. I was sitting in the same spot just powering through these contractions. I remember thinking, “There’s no way that I can do this unmedicated. I’m going to get that epidural as soon as I get to the hospital,” because all that I’ve heard in all of my research is that when you think y…

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Episode 222 Necey's VBAC + RCS + VBA3C Feb 15, 2023

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Our friend Necey joins us with her inspiring five birth stories today! Necey had a scheduled Cesarean for her first birth, a redemptive VBAC for her third, two scheduled C-sections after that, and a VBAC after three Cesareans for her fifth baby. She shares how her VBA3C was a spiritual journey that gave her the strength to advocate among skeptics and have faith in herself to follow the path she knew she needed to take. We are so in awe of Necey’s powerful stories!Additional LinksNecey's Family YouTube ChannelHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsFull TranscriptMeagan: Hello, you guys. It’s February and we have more beautiful stories coming your way. Today we have our friend Necey. Her name is Donice but she goes by Necey. She has a whole bunch of stories. She is unique because she is a VBAC and then a VBAC after two Cesareans. She has five cute kiddos and she had an unexpected Cesarean like a lot of us do, then a VBAC, and then two Cesareans, and then a VBAC. I think it’s cool that you have a VBAC after multiple Cesareans and then you have a VBAC. I’m so excited for her to share her stories today, all five of them. So amazing. Review of the WeekBut of course, we have a review of the week. I’m going to share it from koggli. Sorry, I always butcher the names. The subject is “The Reason I Got My VBAC.” It says, “I cannot thank these ladies enough for the impact they had on me and my second birth. My first was a 24-hour labor with an emergency C-section. After delivering my precious son, I was sure I never wanted to go through a C-section again. Through their knowledge and resources, I was able to feel much more prepared for my second birth. Because of these ladies and all of the ones who have also shared all of their testimonies, I had a successful VBAC in October 2020 with a little girl.” She had a little boy and then she had a little girl. “Now I am preparing for my second VBAC with another little girl due October 2022” which means at this time of recording, she just had her baby a couple of months ago. So koggli, if you are listening, please write us. Let us know how it went. It says, “Because of them, I became so passionate for VBACs and the beautiful redemption they can bring. Thank you, ladies.” Well, thank you koggli. So excited for you. Congrats on your VBAC. I can’t wait, I hope, to hear about your second VBAC. So as usual, we love reviews from you guys. They are so amazing. They warm my heart. You can leave them in all sorts of different ways. You can do it on Apple Podcasts, Google, Instagram, and Facebook or just email us at info@thevbaclink.com. Whatever it may be, we would love to know what you think about the podcast. Necey’s Stories Meagan: Okay. I can’t wait. Let’s dive into your stories. Five stories. Obviously, everyone starts with a C-section, so let’s dive into that. Necey: Okay. First, I want to say thank you for allowing me to be able to come on your podcast and share my story with you and your listeners. Okay, so first we’re going to talk about Joshua. He’s my firstborn. When I got pregnant with him, it was my first one. I didn’t know anything about anything. Meagan: Right? You just don’t know what you don’t know. You know you’re going to have a baby. That’s what that pregnancy test confirms, right?Necey: Yes, yes. I just didn’t take good care of myself. I was eating. I was just happy to be pregnant so I took it as an excuse to eat whatever I wanted. I gained a lot of weight rapidly. Around 7 months, I ended up getting diagnosed with gestational diabetes. That made me have to go to the doctor more often, sometimes twice a week, and get a lot of non-stress tests. I didn’t know what I was doing or what the tests were for. So then at around 37 weeks, I went in and got a non-stress test done. I didn’t pass it. They said that he wasn’t moving the way they wanted him to move and therefore, they took me to get an ultrasound to make sure that he was still doing okay. The measured fluid and everything. The nurse ended up calling the doctor. The doctor said to have me go home and have me come back in the morning, and if it’s the same then we’ll go from there. So fast forward, my husband and I come back the next day. Nothing changed, so they said that they were going to have to keep me at the hospital I was at because it wasn’t the original one I was supposed to be at. They said it was because it had a children’s hospital inside. Meagan: A NICU, uh-huh. Necey: Yes. They wanted to make sure that if there were any complications with him that we would have the option. They ended up taking me up to labor and delivery. I thought I was going to get induced, but once I got up there, and when the doctor came, my family was there and she just was like, “We’re going to do a C-section.” I was like, “Okay.” Meagan: Oh!Necey: Yeah. I was just like, “Okay.” We didn’t know. Meagan: Right. Necey: I heard the nurse ask her, “You’re not going to induce her? You’re just going to give her a C-section?” The doctor was like, “Yeah. Just going to give her a C-section.” I didn’t know. I was just like, “Okay.” So I did the C-section and everything went good, no complications. As she was pulling him out, she said, “Oh, that’s what happened. The cord was wrapped tightly around his neck.” I now know that just because the cord is wrapped around the neck doesn’t mean that you cannot deliver your baby vaginally. Meagan: Correct, yeah. It actually happens all of the time. Babies come out with nuchal cords all of the time. Necey: Yeah. So you know, I was just like, “Okay.” I was just happy that my baby was born. He was born 6 pounds, 11 ounces I believe via C-section. Everything went good. I was just happy to be a first-time mom. So for my second pregnancy/baby, I had another son, Reggie the Third. He was actually a successful VBAC. The pregnancy was fine. No complications and no gestational diabetes which I was happy about that. Everything was fine. I actually went into early labor with him on Thanksgiving Day.Meagan: Oh, a turkey baby. Necey: Yes. I guess it was all of the food. And then so I actually was going some Black Friday shopping because I never had labor before. My husband and I were at the store and I kept going back and forth to the bathroom. I was just telling him, “I don’t know. It keeps feeling like I have to go to the bathroom but nothing is happening. It’s kind of weird.” He was just like, “Okay.” So one time when I was going back to him, I ended up having a contraction that stopped me in my tracks. I was like, “Wait a minute. Is this possible? Oh, a contraction.” So I was like, “Okay. Oh, Lord. Just let me make it through this so I can get back to him because I don’t know what’s going on.” I made it back to him and I was like, “I think we need to go home because I feel like I may be having contractions.” He was just like, “Okay.” So I got home, called the exchange line, and told them what was going on. They wanted me to go on and get checked out. I did and I went about midnight. They let me go at about 8:00 in the morning and said I was contracting. I just didn’t have any change. I went home and relaxed. At around 6:00, so that was Thursday, then Friday around 6:00, I started to have contractions. I was like, “Wait a minute. It’s time now.” So I had my sister and my sister-in-law, so family over. I ended up on all fours making this moaning sound. My sister is on the phone calling my doctor. My sister-in-law is massaging my back and she was like, “I’m almost sure you’re in labor.” So they said to go back and I went back. They checked me and I was about 4-5 centimeters dilated. So they said, “Yeah, you’re in labor.” Active labor is what they called it. I immediately asked for an epidural. I didn’t even try to labor. I was like, “Give it to me. I want it now.” Meagan: Yeah, that’s okay. Necey: Although I had the epidural, for some reason, I still felt my son. He felt like he was coming out of me. Some hours had passed, maybe about 8 or 9 hours or so, but before that, the nurse ended up checking me and she was like, “You’re complete. I just have to wait until the doctor comes.” She called the doctor and I was like, “I think I feel him.” She was like, “Oh, I just checked you. You’re good. You’re complete. You’ve got time,” is what she said. She had me do some practice pushes and as they had my legs open, my mom and my mother-in-law were like, “Oh, I think you need to close your legs.” Meagan: I thought I had time.Necey: Right? I was like, “Okay, why? He’s right there, isn’t he?” She was like, “Yeah.” So then the doctor ended up coming. Actually, I had a resident. He ended up coming in and the doctor soon followed. I didn’t even get to push. I pushed a time and a half. I didn’t even get to push hard or anything. He just came right out. I think my body had already done it for me, just unaware that that’s what it was doing. He was born 6 pounds, 14 ounces. Meagan: Okay. Necey: Yes, so I’m in the 6-pound range. So yeah. Then for my third baby, Miss Addison, my first baby girl, the same thing. No gestational diabetes. The pregnancy was actually good. We were on track for another VBAC, but around 40 weeks, I went in for my check-up and the doctor was just like, “I wonder why you haven’t gone into labor.” I was actually thinking the same thing. So she said to follow her to the ultrasound room. I did and she did a quick check to examine and she was like, “Oh, that’s what’s going on. She’s transverse inside of you.”Meagan: Sideways. Necey: Yeah. I had no clue what that meant. I was just like, “Okay, transverse.” I’ve heard of breech or head-down. She told me to come back the next day and do an EVC.Meagan: ECV. Necey: ECV, I’m sorry. Meagan: It’s a version where they are trying to manually, from the outside, rotate the baby. Necey: Yes. She said if that was successful, then good. If not, we would have to do another C-section. So of course, it wasn’t successful and I didn’t know anything about Spinning Babies or anything like that because I probably would have tried some of those things, but yes. We ended up going for a C-section, got prepped, and for some reason, when they got me to the operating room, I became very panicked. I started shouting and asking them to get me up. I didn’t want to do it. The whole team lifted me up and the doctor talked to me. She calmed me down. We went on with the C-section. Everything went good. She was actually 8 pounds even. Meagan: A big jump, about a pound heavier than your other babies. Necey: Yes, so I don’t know how or why, but that’s what it was. So for my next pregnancy/birth, it was my daughter Madeline. Her pregnancy was good too with no complications and no gestational diabetes again. However, I was still with the same provider, so since I had two Cesareans, she said she wasn’t comfortable with doing a vaginal because I actually unknowingly started to advocate for myself with her. I just asked. I asked and asked. She always told me no, so I was just like, “Okay.” I didn’t think I had another choice, but I did try to compromise with her. I was like, “If I go into labor before the scheduled date, can I just have her vaginally or try it out?” She was like, “I guess. I really don’t want to do it, but maybe so.” I didn’t go into labor though. So I went to the scheduled Cesarean and I think for my last birth, I had trauma so I was just scared. I started to panic again. This time, it was before we got into the operating room. It was right after they gave me the spinal tap. It was so bad. It was really bad. I was a little embarrassed, but they ended up saying that they had to give me some medicine. They ended up giving me Xanax. I was scared because they said it was not good for the baby. It messes with the baby’s heart. They were like, “We really don’t have another option because we really need you calm.” So I just agreed. But after I got that, I didn’t even know what it was, but I was really relaxed. I didn’t have a care in the world. We did the C-section and Madeline was born. She was 6 pounds, 12 ounces. Meagan: Okay. Necey: I know. So I don’t know. But yeah. It was good and no complications, just the panic attack. Oh, and you know what? Yes. My husband did say that she didn’t respond. I didn’t know because I was out of it. And so he said that he got scared because she didn’t respond for a while. I’m just assuming it was because of the medicine, but she was fine. I just thank God that she was okay. I was very depressed after that. I think it was a trauma for me, so I didn’t want to have any more babies. I didn’t want to go through the delivery process or any of that. I ended up getting pregnant again. Meagan: Oops, someone else had a plan for you. Necey: Yep. So with this pregnancy and birth, I knew deep inside that I didn’t want to do it, but I was okay with having another C-section. I wasn’t looking to be pregnant. It was actually at the end of the COVID lockdown, so I have all of these friends and I see people having these babies and I tell my husband, “We missed the wave. We did good.” And then nope, we got caught right up in the wave. So yeah. Her story is a journey for me. I didn’t realize I had trauma with the rest of the other two births before her. One day while I was minding my business and having some alone time, I heard the Holy Spirit tell me that I was pregnant, that I was going to have my baby vaginally, that I needed to call my sister to have her bring me some pregnancy tests, and that this is going to be a faith entrenched journey between me and God. Meagan: That just gave me the chills. Necey: I’m telling you, I was scared. I thought I was tripping. I said, “No, I am not,” but I decided to be obedient, so I called my sister. She came over with three pregnancy tests and sure enough, every single one of them was positive. Meagan: Pregnant!Necey: My husband and I were like, “How did this happen?” We thought we were doing good, but when God has other plans for us, His plan always trumps what we want to do. I remember my friend telling me that she ended up not going to doctors anymore. She ended up doing midwives. She told me that they had done research that the midwives are saying that there is more research out saying that it’s possible for people to have vaginal births after multiple Cesareans. Meagan: At this point, you’ve had three technically, right? You’ve had a vaginal birth in between, but you’ve had three. Necey: Yes. I had three. I called the midwifery info she gave to me. They said no. They said maybe if it would have been one that they would be able to do it, but they gave me the information for somebody else. I called them. They said no. After that, it was just a rabbit hole with a lot of no’s, so I decided to call my previous doctor although I had that trauma. I just didn’t really feel as comfortable as I did once with her. It was just familiar to me. Meagan: Some comfort there and familiarity.Necey: Yes. I ended up calling her and went to my appointment, but that was the last appointment I went to her because she did a couple of things that I feel like as a provider, you just shouldn’t do even as a person. It’s like she was passively trying to get me to get a tubal done. Meagan: Oh. Necey: Yes. She was like, “I need to know if you want to get a tubal or not because I need to schedule your C-section at a different hospital so we can do it all at the same time.” I was like, “Okay.” I didn’t say anything to her. I didn’t plan on getting one, but even if I did or didn’t, I didn’t say anything. I actually wanted to talk to her about having my baby vaginally. Meagan: Right, yeah. Necey: That was a red flag and I just said, “Okay.” Then the second thing was that she asked me about the routine testing that most doctors do which is fine. I didn’t have a problem with it. It’s just that she started to say because I told her that I didn’t know. I would tell her at the next visit. She was just like, “Wel…

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Episode 221 Our VBAC Link Doula Sarah's Beautiful VBAC Story Feb 08, 2023

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“If you want to have a VBAC, trying is so empowering. If it’s on your heart, you have to go for it because it’s possible.”We have had her on the pod as a fabulous cohost a few times, but now we get to hear Sarah’s own VBAC story today! After a PROM and stalled long labor, Sarah was told her pelvis was too small. She was labeled as a “failure to progress” and “once a Cesarean, always a Cesarean”. Sarah put in the work to change the way she let outside opinions influence her choices. She didn’t let self-doubt control her thoughts and surrounded herself with positivity. Sarah went all in for her VBAC and everything worked out beautifully!Additional LinksEntering Motherhood PodcastSarah’s InstagramHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsFull TranscriptMeagan: Hello, this is Meagan with The VBAC Link and we have another VBAC story coming for you. Today is actually kind of a fun episode because we have one of our own VBAC doulas. She’s actually been a cohost on a couple of episodes, so this is really fun to have her be on the other side of things instead of being a cohost, now sharing her story. I am so excited, Sarah, for you to be with us today. She is a mom of two, a wife, and a mechanical engineer. Since entering into motherhood herself, she has become certified in postpartum nutrition and is a birth and postpartum doula which I think is amazing. Postpartum nutrition is such a big factor. We are going to hopefully have a special guest on here sometime maybe in the spring and she’s going to talk about that and how nutrition can play a huge factor in our recovery and how our incisions, like our C-section scars, heal and how it can impact VBAC. It’s amazing, so I love that you are certified in postpartum nutrition. If you have anything that you would like to share at the end of this, please be my guest and definitely share anything. I am so excited for you to be here today. Review of the WeekMeagan: I’m going to read a review and then we are going to jump into your amazing story. Sarah: Sounds good. Meagan: Perfect. This is a more recent, August 2022 and it’s from Connor Alyse Hoelle. Sorry, I’m really bad at names obviously. I’m probably butchering it. But the review says, “I was planning on waiting until I give birth to leave a review, but I love this podcast so much. I have to do it now. Julie and Meagan have created such a fantastic and empowering resource in The VBAC Link podcast. When I first got pregnant, I wasn’t sure if I wanted to pursue a VBAC and had a lot of self-doubts. Now, I’m just a few weeks from my due date” so I bet she’s had her baby because right now it’s the end of 2022 “ and thanks to this podcast, I’m genuinely so excited to go into labor. I’m been binging every episode and can’t believe how much it has changed my perspective and increased my confidence in my body and my baby. I promise you’ll be hearing an update from me afterward.”So Alyse, we would love to hear the update and see how things went and see how you’re feeling about your birth. I love that she has been with us and binging. It warms my heart so much. So if you also have a review, please never hesitate to drop us one. You can leave it on Apple Podcasts. I think Google Play maybe, actually, I don’t have Google Play so don’t quote me on that but if you can’t do it on Google Play, you can to go Google. Just search “The VBAC Link” and leave a review there or you can send us a message on Instagram. You know all of the things. I say it every time, but we love your reviews, so please if you wouldn’t mind, leave us one. Sarah’s StoriesMeagan: Okay, Sarah. Are you excited? I’m excited. Sarah: I am, yeah. I am just super thankful to be here. Like you said, I was able to be a cohost on some other episodes but to be able to share my story is just something that’s near and dear to my heart. I love sharing it, so I’m happy to be here. Meagan: Well, thank you. Share away. Anything that you would like listeners to hear. Sarah: Well obviously, every VBAC story begins with a Cesarean. Like many other episodes, I am just going to briefly go over what went on with my Cesarean. With my first, she was born in August of 2019 and it was an unplanned Cesarean. I was a first-time mom doing all of the things, quote-on-quote, all of the things I felt like I was supposed to do. I was reading books and talking to other moms. I took a birth course. I had a baby shower. I was looking at all of the cute baby things. I went to all of my prenatal appointments and was checking all of the boxes. I was even seeing a chiropractor. I had a doula. I was just doing all of the things that I felt I needed to do to prepare. I was convinced that I was going to have a completely normal, unmedicated birth. I was just going to walk into the hospital, pop out my baby, and just start this new life of a family of three and being a mom. Everything was just going to work out. Obviously, I’m here because that did not go according to plan like most of our Cesarean experiences. Actually, very similar to your story, my water broke first. Meagan: Mmm, yeah. Sarah: I was just shy of 39 weeks and I got up to pee and sure enough, there was a little bit of a pop and trickle down my leg. I was like, “Man, I peed myself.” I was fully convinced that this was just pee and I was super embarrassed. I went to the bathroom and just continued on. Sure enough, every time I went to stand up, I just kept on peeing a little. Meagan: Like how much pee do I have?Sarah: I was like, “This is weird.” I’ve never been pregnant before. I’m so far along, maybe this is normal. There I am. Of course, we all have our phones when we’re on the toilet. I’m sitting there Googling, “What happens when your water breaks?” or “What is it like when your water breaks?” All of these scenarios are running through my head because everything leading up to that point was basically, “Oh, your water’s never going to break. It’s not going to be until later on in your labor.” Everything like that, and sure enough, soon after, I believe it was my mucus plug that came out. It’s honestly so hard to try and look back on the experience knowing what I know now and say, “What actually happened?” There’s no way of being able to go back and actually relive it through the lens that you have now, so it’s really crazy to go back and everything, but we were there in the moment and just convinced, “Okay. Water broke. What do we do?” Sure enough, it was just like, “Well, I guess we go to the hospital.” Meagan: That’s what I was told. It was like, “If your water breaks, you come straight in.” So I was like, “Okay, cool.” So my water broke and what did I do? We got ready and we went in. Sarah: Yeah. So here I am. I remember my husband took a picture of me standing outside of the hospital. I was happy like, “Okay, we’re going to go have the baby now. The water broke. This is great.” I was just convinced that this was all cool. Like, “All right. Baby’s coming. My water broke. I must be doing something right.”I got there. They checked me. I wasn’t even a centimeter dilated. They were just like, “Okay. We’ll see what happens, but you’re staying here.” That, I think, really threw me in for a loop. I figured that I was going to be staying there, but I did not think I wasn’t even a centimeter dilated. I did not. Meagan: Right, because you think, “Water breaks, I’m in labor.” Sarah: Mhmm. It’s go-time. Meagan: We associate water breaking with the movies where it’s like, “Hurry! Get to the hospital! We’re going to have a baby.” But in hindsight, we weren’t really contracting or anything like that. Sarah: Not much was going on. Knowing what I know now, sure. I should have stayed home and all of these things, but again, in the moment and in that situation, it’s like, “Okay. Go to the hospital. Show up.” So now, here I am at the hospital and contractions did pick up. They put the monitors on me and set me all up. It was just kind of like shock. I was like, “This is happening. I’m having a baby. What’s going on?” So almost through every single contraction, I was shaking and then I was throwing up. From my birth class, it was like, “Oh, if you’re shaking and throwing up, you might be going through transition.”So again, I’m like, “Oh yay. My body is doing what it’s supposed to. I’m so far along. Let’s do this.” And sure enough, I was only at a 2. They were doing all of the cervical checks. I remember specifically this one nurse said to me– so I was only at 2 centimeters at the time and she was like, “Oh honey if this is how you are at a 2, you’re never going to make it to a 10. You should just get the epidural now.” Meagan: Awesome. Thank you so much for the encouragement. Sarah: I was just defeated. Over and over in my head, I’m like, “This isn’t how it’s supposed to be. This isn’t what is supposed to happen. What’s going on?” And of course, you can’t stop birth. It’s coming. It’s going. Things are moving and all I wanted to do was just take a moment and pause and stop. My body didn’t want to. It was just all happening. Naturally, I was just so defeated. I had only made it to 4 centimeters a few hours later after she had said this and I was still trying to motivate myself. I had my doula there. She was like, “You can do this. You’re okay.” I was shaking and feeling so scared and just not able to calm down. I think I took what the nurse had said and also just how I was feeling and was like, “I’m never going to be able to relax. I’m never going to be able to do what my body needs to do to get this baby out.” I was like, “Let’s do the epidural. Let’s just see where this goes.” It let me relax, but ultimately what I was feeling was just all of the pressure. She was posterior and it was just a lot of pressure and everything going on. I think maybe if we did some repositioning, that could have helped, but you never know what’s really going on. With the epidural, I was able to relax and calm down. I wasn’t shaking anymore. Meagan: Yeah, which makes it more pleasant. Sarah: Right, yeah. I was like, “Okay. I can get through this. This is fine.” I had gotten to 7 centimeters. Now, they were amping up the checks because I had the epidural, so why not?Meagan: You can’t feel it, so why not? Sarah: Right, and then I was approaching that 24-hour mark since my water had broken. I did get to 9 centimeters, but they were just saying, “This is taking too long. You should have progressed further at this point. We should really start to consider Cesarean so that we don’t fall into any emergency situations.”Meagan: Did they offer any intervention to help you get over that little hump? Was there any talk there like, “Hey, let’s give you 2mL of Pit. Let’s do something.”Sarah: Yeah, really nothing was discussed in that sense, but I found out afterward when I was pregnant with my second that I did have Pitocin. I was hooked up to antibiotics because I was GBS positive and then after the epidural, I believe they just added on the Pitocin. Meagan: But didn’t really talk to you about it. Sarah: No because my provider with my second was like, “Oh, so you had PItocin and everything.” I was like, “I did? No.” They were like, “Well, that’s what it says here in your report. I had no idea that they were even administering Pitocin. Maybe that’s what helped me progress further, but ultimately, it was just not moving as fast as they would like. Meagan: Yeah. Ultimately, it was that lovely failure to wait. Especially because your body went into spontaneous labor, rupture of membranes spontaneously and then it needed its time. There were some interventions which sometimes, not always, but sometimes can slow the body down because the body is like, “Whoa, hold on,” and then it catches back up, but maybe it sounds like they didn’t give you that time to catch it back up. Sarah: Yeah, yeah. It was just one thing after another. After the word “Cesarean” was thrown into the picture, I was just like, ”Oh my goodness. It hasn’t even been 24 hours and I have gone from wanting a completely unmedicated birth to now thinking a Cesarean is in the picture.” I just sat. I laid there in the bed just honestly praying and hoping and saying, “Whatever my body needs to do to get this baby out, allow it to happen.” They came back in and checked me. I still wasn’t dilated, so they just prepped the OR and I ended up with a Cesarean for my first birth. It was just like we said, I was classified as a “failure to progress”. They were convinced that maybe the baby was too large. My pelvis was too small. All of these things were being documented in my report. “This woman had this happen.”In their mind, they were thinking, “She’s never going to have a vaginal birth.” This is just a classic, “Oh, she’s going to always have Cesareans if she wants any more kids.” I think that was the picture that they drew up in my file and what was laid out for me with that provider. So going into my 6-week postpartum appointment, I was already like, “Okay. I have to have a vaginal birth. I want more kids. What does this mean?” They basically said, “Oh, well because of your situation, you could try again, but it’s probably going to result in the same situation.” They were already telling me that I should just go for a repeat Cesarean if I were to ever have kids again. Obviously, that did not happen, but I had to really put in a lot of work for myself and my education. I found this podcast. I started my own. It was just all of this rush of, “I need to figure out how I can get this to happen because I’m not getting that support from my provider of believing that I can do this. I know it’s not the story of “once a Cesarean, always a Cesarean” anymore. People are doing this. People are having very successful VBACs. It’s one of those things where if you choose to have a repeat Cesarean, that’s your thing, but if you want to have a VBAC, I feel like trying is something that is so empowering. If it’s on your heart, you have to go for it because it’s possible. Meagan: It is possible and what’s so hard for me to hear is what you just said. Before even getting pregnant or before even getting there, we have these providers placing doubt and fear in our minds. When I say doubt, it’s doubting our body can do it, but also, they pretty much say, “Well, sure. You can try but it’s going to end up the same way, so why waste your time? Just go in and have a baby.” So we’re being placed with all of these seeds. They’re being placed before we even fall pregnant again, so then we are doubting ourselves. I’m just going to say it how it is. It bugs the living crap out of me. It bugs me so much that we have people placing doubt in our ability to have a baby when they don’t know. Sarah: Right. I could have easily been like, “Oh okay. From now on, I’m going to always have Cesareans.” I could have gotten pregnant with my second and scheduled a full-on Cesarean and that would be the path that it went, but I had that successful VBAC. I had a baby come out of my vagina. It was possible. It’s just crazy that I think we need to share these stories. We need to show that it’s possible to send some shock to the providers and make them see, “Okay. We can rethink this situation.” It is something that’s going on. Obviously, women are doing this. It’s really crazy. That provider too was like, “Oh, I just delivered a baby from a mom that had her 10th Cesarean. You can have as many as you’d like.” Meagan: Kind of funny, coincidentally I should say that you said that. We just had someone commenting. I did a reel on breech and she said that she had 10 Cesareans. 10. That is a lot of Cesareans. It is. She just said, “I wish I knew what I know now.” The same thing. That’s the hardest part. We can’t shame ourselves for not knowing then what we know now because that is how this works. We grow. We learn. We experience things and that is what morphs us into the passionate people or passionate person that wants to have a VBAC, right? An…

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Episode 220 Dr. Natalie Elphinstone + Maternal-Assisted Cesareans Feb 01, 2023

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“Let’s make every birth the best possible version of that birth that it can be.”Dr. Natalie Elphinstone is a true trailblazer! When one of her patients asked about the possibility of a maternal-assisted Cesarean, she listened intently, took the idea to heart, and advocated for change by creating a new hospital policy to allow this beautiful procedure. Dr. Elphinstone is creating a whole new experience for Cesarean moms as they get to deliver their babies, hold them first, have uninterrupted skin-to-skin time, and feel like birthing women instead of patients on an operating table. Dr. Elphinstone shares how she was able to make this change, how we can implement this procedure in our areas, and even offers some VBAC tips as she is a big VBAC advocate as well! We are SO honored to have her with us today.Additional LinksDr. Elphinstone’s InstagramDr. Elphinstone’s Introduction PostHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsFull TranscriptMeagan: Welcome to The VBAC Link, you guys. This is Meagan, your host, and I am so excited to be here with you today. Today’s guest is an amazing OBGYN in Australia. She has caught over 1500 babies and believes in supporting women and families to make individual choices that feel right for them. You guys, she is making such a big impact in Australia and I am just so excited to pick her brain and hear more of her journey about how she has been changing the norm in Australia. Review of the Week We have a Review of the Week so of course, I’m going to jump into that before we start with Dr. Natalie. Okay, so today’s review is actually pretty short. It’s from Dr. Steven Roushar who is amazing. We actually have him on a podcast probably back in the early one-hundreds. He is a chiropractor and his wife has also had a VBAC. He said, “The VBAC Link is phenomenal. Great podcast content and training for birth workers.” Thank you, Dr. Roushar. We are so happy that you love The VBAC Link. We love you and believe in chiropractic care so much. As usual, if you have not had an opportunity to leave The VBAC Link a review, we would love that. I love getting these reviews. It makes me smile and we love reading them on the podcast. So push pause right now, and head over to Apple on iTunes. You can leave us a review. A 5-star review would be awesome along with a written review. You can do it on Google. You can do it on Facebook or you can email us. Wherever it may be, we would love your reviews. Dr. Natalie ElphinstoneMeagan: Okay, Dr. Elphinstone, we are so excited to have you. We are so grateful for you. I know your time is precious in OB-land. You are obviously seeing a ton of births. So grateful to have you. Again, thank you so much for being here. In the birth world, we get these comments sometimes, “You’re The VBAC Link, I have a girl crush on you.” I am girl-crushing on Dr. Natalie Elphinstone. She is the freaking coolest. You are so cool. I am so honored to have you on the show today and I’m so honored for her to share with you her knowledge because you guys, you are going to fall in love with her too. If you don’t follow her Instagram, right now, press pause and go check her Instagram. Do you have a Facebook too? I think we just follow you on Instagram. Dr. Natalie: Yeah, sadly I just do the Instagram thing. Meagan: That is okay. You are @drnatalieelphinstone, right? Dr. Natalie: Yep, all one word. One really long word. Meagan: One really long word, but you guys, it’s amazing. I want to do a little bit of a background. This is how I found her. I actually found her off a video. You may have seen these going around of a maternal-assisted Cesarean delivery. It brought me chills. It made me cry. I was just like, “Oh my gosh. I want to do this. I want to have this option here in the U.S.” She is in Australia too, so not here in the U.S. I don’t even know. Your page just started blowing up and this video started going viral. I shared it and I think I wrote you. I think I just wrote you and was like, “Wow, this is amazing,” or something. Crazy enough, we had some crazy emails coming through like, “That’s fake. That’s not real. It’s a simulation.” I was like, “What? No.” Anyway, so I wrote Dr. Elphinstone and I just said, “Hey, I would love to have you on the podcast.” She is so gracious and said yes, so we are going to dive right in. I always say “dive right in” but we are diving right in to learn more about what she does and how she is truly changing the birth world in Australia. Okay. Dr. Natalie: Thank you, thank you, thank you so much for even thinking of having me come and talk on a podcast that of course, tends to be concentrating on VBACs, yet yes. I am getting known for this maternal or parent-assisted Cesarean. And so to be honest, it took me a little bit by surprise that you thought maybe I would be somebody to talk to. I mean, the whole thing took me by surprise. When I started off just sharing some of the videos of my maternal-assisted Cesareans, it was not with any kind of intention of trying to be this game changer. I actually just wanted to show something that we did that was really, really awesome and maybe with it, that idea of, “Well, if we can do it here, then maybe it can inspire other people to open up their mind to this possibility as well.” And then, it kind of just blew up as you said. It started getting reshared. I started getting contacted by people all around the world asking for my help and my advice on how they could possibly do it in their country. I’m super, super honored to be able to share my journey and my knowledge. To date now, I can say that– I was just contacted today by another country over the weekend who contacted me to say, “Thank you very much for the information that you shared. It was able to allow me this opportunity to do a maternal-assisted Cesarean for possibly the first time in my country.” This was Ireland, so I’m pleased to say that Ireland is the sixth country that I’m aware of that I’ve been able to help impact at least one individual person. This is just mind-blowing to me and I feel so privileged to be able to not do anything special. I don’t think I’m doing anything special. I’m just open to changing my practice and then sharing it so that it is seen that it is something that is possible. When you then get people that say, “That’s fake,” I mean, oh. That actually just makes me really sad. It makes me really sad that this idea of what I’m showing, a maternal-assisted Cesarean, is so far removed from what they believe to be reality and what they know in their world that they think it must be fake. That’s actually sad to me. Meagan: I’m with you. Me too. It does. It breaks my heart that this world has come to the point where we are so blinded, we are so closed-minded, and just looking down this tunnel that we can’t see the possibilities outside of the norm. Dr. Natalie: Yeah, yeah. That’s what it is for me. This is just me thinking with an open mind, “Can we do something different?” If the answer is yes, then why don’t we? Why can’t we and how do we make that happen? So that’s how I started. Meagan: Right, I know. That’s what I love. It’s going to take someone to get it started for it to happen. Here you are. You’re doing it. You are doing it and you are changing it. It’s hopefully just going to trickle on down and spread throughout the world to see that Cesarean birth can be different. It can be different. Each video, they are all different. Sometimes, I have seen that you’ve got videographers or someone in the OR even on the other side. You’ve got two different views of baby coming out. You have mom reaching down and pulling baby out, and then we have the other side where the amniotic fluid is pouring out. It’s just so dang cool. It’s so dang cool. I love it. For my second Cesarean, I watched it in a mirror. I wasn’t able to be a part of my birth in the way that you are creating people to be a part of their birth, but I saw it in the mirror and it was really cool and really special. That right there, that and the skin-to-skin that I was able to get made the difference and created the healing for an undesired Cesarean birth that I had. It truly created that healing aspect. I’m just going to shoot it out there. How? You’re seeing it in your head and you’re like, “We’re going to do this.” What kind of flack or backlash did you get or pushback did you get in your space there in Australia? What did you get there and how did you personally push back? Dr. Natalie: Yeah. It’s a really good question because I think everybody who has wanted to pursue this journey comes back and says, “But I’m getting met with these challenges and I’m getting met with these accusations. I’m just getting shut down.” I think that probably everybody will meet some of those challenges. And yes, I’ve met those challenges too. My journey of how this happened to me, and I always tell this story because I think it’s a really important part of this story. This wasn’t on my radar. To be honest, I didn’t think of it myself. I had a single patient come to me who I was looking after for her antenatal course. It was her first baby. She had decided for various reasons that a Cesarean birth was the way that she was going to go. She came to me and said, “I’ve seen on somebody else’s social media this idea of a dad-assisted Cesarean, a partner-assisted Cesarean.” She said, “Can we do that?” I said, “Well, I’ve never seen that happen before in real life. It’s definitely never been done at this hospital. I don’t know that it’s ever been done anywhere in my area before,” and so one easy spot to stop there would be for me to say, “So no, we can’t do that,” and that would have been a really easy answer. But instead, I went, “Well, maybe. Why not? Why can’t we do that? That does seem pretty cool. That does seem like it might be a really valuable thing if that’s something that you want to do. So how do we make that happen?” So my point is, number one, this whole thing started with one person, one patient herself coming to me saying, “Can we do this?” It can start really, really small. I was in a privileged position where I had the opportunity to go basically straight to the top of the hospital. So I’m talking about working in a private hospital in Australia for this scenario, so I literally just went to the CEO of the hospital. I asked her, I said, “I don’t know how to make a new procedure happen. Tell me what I need to do to be able to make this happen.” I mean, number one I asked her, “Are you on board? Can I make this happen?”To be fair, I was expecting to be shut down at that point, but my gosh, she said yes. She said, “That sounds like, yeah. Why not?” A very quick answer would be that when it always comes down to new procedures, is there a value in it? Is there an importance? Does it achieve something so to speak? And then the second thing, is it dangerous or are there risks or are there concerns about that? If you can tick off those two boxes, then yeah. We can do a new procedure. But there are some hoops to jump through. She told me what those hoops to jump through were. I had to write a policy. Hospitals always want to know this very streamlined checklist of how you do this new procedure. And then I had to get that policy approved by the various levels of boards if you like at the hospital, so I had to present this to a couple of different meetings. That’s where things got really interesting. I can write a policy. I can write a protocol. That’s just me sitting at the desk and talking stuff out, but then presenting this idea to boards of people to get a general consensus that this seems like a good thing to do, I guess I was really naive going into that. I guess I believed that this was a really important thing to do, so I probably expected that everybody else would as well, but clearly not. That was definitely my naivety at play there. I then got met with challenges from the people hearing it. Everything they just laughed off like, “That sounds like the most ridiculous thing in the world.” I guess when you are talking to surgeons for example, surgeons, yes. We operate. People are asleep and we cut them open and we do a procedure. There are a lot of these rules around that to keep it sterile and to keep it clean and to keep it safe. To be fair, here I am suggesting that this woman who is awake and having her operation is going to literally reach down into her own open wound and pull out her baby. So yeah, okay. I get why it might sound ridiculous if you don’t have the understanding of the fact that this is birth rather than it being an operation. I think that’s a really important part to remember. I hope that none of us ever forget when we are doing any kind of Cesarean or any kind of instrumental birth or whatever that this is not just a procedure that we are performing on somebody. This is their birth. This is the thing that they are going to remember forever. So even if this is the 5th Cesearean I’ve done this morning and I’m getting a bit hungry or I’m a bit bored or whatever, oh my gosh. That’s not the point. The point is to remember that this is the most astounding thing that has ever happened in this woman’s life and in this family’s life so let’s make it really, really special. Anyway, I digress. I digress. Meagan: Absolutely. You digress in a good direction though because it’s so true. I’m sure. I’m not a provider. I don’t know. I’m sure it just gets repetitive, right? Dr. Natalie: Yeah, it can. Meagan: Walk in. Catch a baby. Walk in. Have a Cesarean. But if you can, if you can walk in. If you are a birth worker and you are listening, and that goes for all birth workers, walk in and truly hold space for that person and be there for that person because it is something that they are going to remember forever. You probably aren’t going to remember two months down the road, but they will. Dr. Natalie: I think that’s something that hopefully every provider continues to keep in the forefront of their mind. I think I’ve certainly had the times where let’s be honest, sometimes I haven’t honored the birth experience, or perhaps it’s a Cesarean and often we then think that the woman’s really distracted now. The baby’s out. She’s focusing on the baby and we’re just getting on with the rest of the operation and closing her up, and often, let’s be fair, I am just having a conversation with my colleagues around me. I’ve had that not come back to bite me because I don’t think I’ve ever said anything inappropriate in that situation, but the women and the partners have come back and said, “Oh yeah. We heard you chatting about other things.” Actually, a lot of the time when they are telling me that, they are telling me that they were kind of reassured by that because they knew that if I was just perhaps having this general chitchat then clearly I wasn’t worried about anything in their operation. Meagan: Yeah, I can see that. It is interesting though because, with my first baby, that’s what I remember. I don’t remember my baby’s cry. I don’t remember seeing my baby. I remember the doctor and the assistant on the other side of the curtain talking about how terrible the storm was outside and how one just got back from Hawaii and was so depressed. That’s what I remember about my birth. Dr. Natalie: Yeah, yeah. I don’t quite know what the answer to that is because it is going to be this balance between definitely wanting to honor that birth space, but yes at the same time, we are humans too and it is our job. We love our job, but sometimes yes. Part of that job is bonding with our colleagues as well. Meagan: Talking on the job. Yeah, talking on the job. That’s what you do. Dr. Natalie: That’s always a wake-up call for us to always be really mindful of even just what that general chitchat might be that, okay yeah. Let’s talk about our holidays. That’s a good memory, but maybe let’s not complain about something else like another colleague down…

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Episode 219 Ashley's VBA2C + Special Scar + High BMI Jan 25, 2023

Show notes

Ashley joins us today from Australia sharing her three birth stories and how she learned to truly trust herself. Driven out of the hospital due to discrimination and not being able to find support from home birth midwives, Ashley decided to go for a free birth. With a special scar, two previous Cesarean surgeries, a big baby, a high BMI, and a history of gestational diabetes, Ashley accepted all of the risks and was able to reap the beautiful benefits of undisturbed home delivery. Ashley shares with us her journey to acceptance when things didn’t go the way she planned, but also how to persevere through to fight for the story she wanted. She now hosts The VBAC Homebirth Stories podcast and is a Homebirth/Freebirth Mindset Coach inspiring other women to have the courage to take back control of their birth stories!Additional LinksAshley’s InstagramThe VBAC Homebirth Stories podcastHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode DetailsFull TranscriptMeagan: Hello, hello. Welcome to The VBAC Link. This is Meagan Heaton and we have Ashley here with you. Can I just tell you? She is amazing and you’re going to want to listen to this episode 5 million times and then when you’re done listening to it 5 million times, you’re going to want to check out her Instagram and watch her videos 5 million more times because she is amazing and such a wealth of knowledge. We reached out and said, “Hey, we want to share your story on the podcast. We think it’s going to be an amazing episode.” I don’t think. I know it’s going to be an amazing episode. Review of the WeekBefore we do that, I’m going to get a review per usual and remind you that if you would like to leave a review, we are on Google and Apple Podcasts. You can email us. Shoot us a message on Instagram. We love to add your reviews to the queue and read them on the podcast. This specific review is from Ana Neves and it says, “I’ve been preparing for my VBAC ever since my C-section, and listening to the stories in this podcast has not only taught and informed me all about the different options, but also inspired me. I know that when the time comes, I will be prepared and feel the power of the great and courageous people who shared their stories here.” Oh, I love that. “The great and courageous people.” Oh, I love that. I love that so much. Thank you so much for sharing your review and like I said, if you have a review to share and you want us to know how you feel about the podcast and all of these great and courageous people, please leave us a review. Ashley’s StoriesMeagan: Okay, Ashley. I am so excited that you are here. It’s been interesting from now in recording, we’ve had Australian people on the podcast a lot. It warms my heart and makes me so happy and makes me feel like I probably need to go to Australia now because one, I am obsessed with all of the knowledge you guys have on birth and I actually really like the way that birth is in Australia in a lot of ways. But I am just so honored to have you here with us. Ashley: Thank you. I am so excited to be here. That was such a beautiful, warm welcome so thank you very much for having me. Meagan: Yes, oh my gosh. I’m serious. I just love listening to you too. I just love your guys’ accents. My Utah accent is pretty lame, but yeah. So let’s turn the time over to you. I am so excited because I feel like I’ve heard little things, but I’m excited to just hear it right now with you. Go ahead. Ashley: Okay. So let’s start from the first babe then. Basically, I went into that one expecting that I was going to have a vaginal birth because my mum had vaginal births, and all of the women before me did too. My mum had me in 7 hours. I was the first baby. My sister is two, so mum said, “If you have medication, you’re weak. You’ve just got to suck it up.” So I had this, “If she could do it, I can do it.” I had this, “I’ll have the epidural if I need it” sort of vibe. A lot of my friends had babies before me. They had children when they were 17-18. By the time I had mine, I was 28. I was newly married and I had watched all of my friends. They told me all of their birth stories and things. They had all had vaginal births. I thought that Cesarean birth was really for celebrities basically because when I was in high school, it was Posh Spice who was having this C-section and things like that. It was a trendy thing to do. It wasn’t something that normal people did. It was an expensive thing that rich people did. Meagan: Like in Brazil. That’s how it’s viewed in Brazil. You are high-class if you have Cesareans. Ashley: Yeah. I mean, I went to the GP before I got pregnant and checked on my levels to make sure. I have always had a high BMI, so the doctor said to me, “The only thing I recommend is that you lose some weight because you might struggle to conceive,” so I went in knowing that there may be a hardship there. Some of the women in my workplace at the time had multiple miscarriages. My mother-in-law had 7 before my husband, so I went in with that kind of, “We’ll see what happens, but it could take a while.” So I conceived within the first month of trying so that was a shock, but also so exciting. Super exciting. It was a month before my wedding, so I got sick just after my wedding for my honeymoon and all of the fun games and after that, I was just like a sloth dying because I got HG. I got HG and it was just 20 weeks of basically a challenge. Meagan: Yeah, miserable. Ashley: It was hard. I was so excited to be a mom. I couldn’t wait from the time I conceived to birth the baby and have the baby in my arms. That’s all I wanted. I went to the hospital and there was a bit of a mix-up between when I went to the GP and had the GTT, the test for gestational diabetes. The doctor told me that I didn’t have it. I went to a hospital because that’s what they do. You go to a GP and they just send you to the local public hospital and that’s the one that you are allowed to go to, but they didn’t really discuss any of the other avenues like private, or midwives, or homebirths or anything like that. So I went excitedly to my first appointment. I waited for over an hour and I saw some random gyno-obstetrician and they said to me, “You’ve got gestational diabetes so you’ll be seeing us.” I was like, “No I don’t. I don’t have gestational diabetes.” “Yes you do,” she said and I burst out crying. It was this big thing. Basically, the difference was if I had birthed or if I had gone to the hospital in Brisbane which is the next suburb over, I wouldn’t have had gestational diabetes but in the hospital that I went to, they were up with the times with the lower numbers because that was cycling at the moment. It was 2014. I had gestational diabetes and that meant that I had so many more appointments. It meant that I was only with obstetricians. It meant that I had to go to nutrition or a dietician. It was just so many appointments. It was out of control. From a very early stage, I was told, “You’re going to be induced and you’re going to be on insulin.” As soon as I was diagnosed, I was told, “You’re going to be on medication.” Meagan: No talking about it. Ashley: “Yeah, let’s see how this unravels and we’re not going to start you on the pill, we’re just going to go straight to insulin for you,” so it was kind of like they had already decided my fate. I was really excited to have an induction. It meant that I got a date for my baby and I was going to have my baby early. When I spoke to the other ladies in the GD who were getting induced, the lady said to me, “It’s all good. I was induced and I had my baby in 5 hours.” I was like, “Awesome. Awesome.” I don’t know what number baby that was for her because when it comes to induction, I know now that it really matters whether it’s your second or if you’ve had a vaginal birth before, then an induction probably isn’t going to land you with a C-section. I ended up getting my date, coming into hospital, and having no discussion. I kept asking, “Can we have a birth discussion?” It was always, “Next week. Next week. Next week.” There was no discussion about what happens at birth or really what to expect or any niceties or anything. It always felt quite cold. It was like the people didn’t even want to be there, the junior obstetricians, it was like they were doing their time so to speak. It just wasn’t a pleasant experience. I was expecting my first baby and I just felt like another number. Meagan: Yeah. It wasn’t warm and fuzzy at all. That’s for sure. Ashley: No. I just felt like it didn’t feel right. It just felt really not nice. Meagan: Yeah, impersonal. Ashley: Yeah, exactly. I basically went in for my induction and my husband came in with me. That was a couple of days of having gels and people putting their fingers up and continued monitoring and just very uncomfortable. I found after they had done all of that process that my cervix was right shut up. It wouldn’t open up. They said, “Okay. We are going to try and put the balloon in there.” That was the most excruciating pain. Meagan: Especially when you’re not dilated. Ashley: It was excruciating and I was in so much pain. The doctor and midwife made out that I was making a big fuss because I was responding that it was painful, so they gave me a lot of gas and I was pretty much tripping out. It was really trippy. Meagan: Like nitrous oxide?Ashley: Yeah. I just felt like if this is how painful it is to put this thing in, how painful is labor going to be? How am I going to handle that if I’ve just been through two days of this? I think that I had a cannula in my hand as well because I couldn’t really go to the bathroom without assistance from my husband. It was really getting uncomfortable. I had something up inside me. Meagan: Or poking you or something all of the time. Ashley: Yeah, exactly. So another night in the hospital we slept and then they said, “If it doesn’t open and it doesn’t drop out by the morning, then we’ll talk about it.” I wasn’t allowed to eat. I had to fast. Meagan: That’s going to serve your body well. Ashley: I know. It’s really cool. It’s like they give you so much amazing care in the hospital to set you up for this amazing birth, and I woke up and it was still in there and nothing had changed. I felt really defeated and I felt like my body was broken like there was something wrong with me. Nobody had ever discussed or told me that there is a high failure rate to this or that this procedure can fail or that you may not be a great candidate for this procedure. Meagan: Or more time. More time can make you a different candidate statistically and raise your BISHOP score. Ashley: Yeah, they obviously did the BISHOP score and they would have seen that I wasn’t a good candidate for this. They would have known that when they did all of these things to me. Now I see that as my body is so amazing that you tried to do all of this stuff to my body and my body was like, “Hell no.” Meagan: Nope. I’m keeping this baby in. Ashley: Clam shut, yeah. The junior doctor came in and she said, “Look. We recommend that you come in tomorrow for more monitoring. Go home and come back on Monday and we’ll start the process again.” I was like, “What do you mean you’re going to start the process again? This was really torturous.” I said, “What’s the difference between a day or two? My body’s not going to respond any differently. Can I just come back in two weeks?” I’m 38 weeks at this point and I’m like, “I’m not even 40 weeks. Can I come back in 2 weeks when I’m in labor?” Meagan: And a first-time mom.Ashley: Yeah, because my mom had me and my sisters right on 40 weeks, so I’m just expecting the same. She said, “No. You can’t.” I was like, “Oh, okay.” She said, “No, you can’t do that.” I said, “Okay.” She said, “You know what? We’re just about to have an obstetrician meeting, so I’ll go in there and I’ll ask the consultants what they think and I’ll come back with a plan.” “Okay,” I said because she also did talk about my option of being a Cesarean on the Monday and I said to her, “Look. I’m going to be honest with you. There’s no way in hell that you’re going to get me to come in for elective surgery. It’s just not going to happen. I never wanted to birth like that and I don’t want to.” She came back and she said– they obviously spoke about what I had said and they made for me later a plan to push me in the way they thought that I was going to bend the most, so they said, “Look. We’ve bumped all of the surgeries for the day and we’re going to book you in as priority because we feel like you should be having this baby now.” I was kind of like, “Okay.” So they were bumping all of these surgeries. There were people sitting out in the waiting room waiting to have their babies, but they were going to bump me to have my baby first. I had my sister in the room who was a surgery nurse who had been pushing me to have surgery the whole time because she was traumatized. I’d been fighting her the way through like, “No. I don’t want to do that. I want to have a vaginal birth.” I was so exhausted and my husband only had 5 days off of work, so he had to return in a couple of days. I had my in-laws at my house babysitting my dog and I was promised a baby. I feel like at that point, I was just like, “Okay, well if that’s what you think, then okay. I’ll do it.” I signed this 3-page waiver form by the way, which I was really scared of. I was like–Meagan: What am I doing? What am I signing?Ashley: My sister is getting me prepared. She just finished a shift from working upstairs in nursing and she organized for herself to get in there, so it was going to be my husband and her. They never allowed a third person, but because she worked there and knew people, she was able to weasel in. She’s getting me ready like a good nurse. She’s so excited. She gets to be a part of it and I’m just recording a video of, “If I die, tell my baby I love my baby.” I am so petrified. I’ve got video and photos and I just look at the photo and it’s like me trying to look excited, but actually, I’m like, “Holy crap. This is really scary and I don’t want to do this.” Meagan: Why is everybody so excited and I’m terrified? And why is no one talking to me about this? Ashley: Because I’m giving up control. They’re not getting the knife, but I am. It’s really scary if you’ve never had surgery. It’s not something that we do every day and it’s not something that I had ever gone through before. So off I go into surgery and it’s really good that my sister was there because she got to take a lot of photos and she got to be a part of it. Meagan: That would bring some comfort maybe. Ashley: Yeah, I felt like they would step up a bit as well because they knew that it was one of their own in there and I was one of their own. She took a lot of photos and things like that, but when they were doing the spinal, no one can be in the room. I just remember feeling so petrified and shaking and looking into this big man’s eyes who was holding me and thinking, “You look like a nice man. Keep me safe.” This midwife came around and she was like, “You look like a deer in headlights” because it was like all of these lights shining down at me. I’m in this crazy room with surgery stuff. I’m really scared. I’m petrified, but I went through the whole process and the obstetrician and everyone, it was Christmastime. It was early Christmas. It was December 5th and they were all having their Christmas party that night, so they were all very happy talking about the Christmas party. “You’re going to the Christmas party? I’m going to the Christmas party.” I thought, “Well, they’re not fast. They’re not stressed. They’re very happy. They’re starting their day. I’m the first one. They’re excited about the Christmas party.” It didn’t feel very personal. I definitely didn’t feel included in the process. They were just talking among colleagues. Meagan: I can so relate. So relate. Ashley: It’s horrible. Meagan: Y…

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