Thank you for sharing your amazing story Pamela! It really proves that knowledge is power and belief in your own body can change everything. Such a strong woman, your story is inspiring. (VBA2C= vaginal birth after 2 cesareans)
Well, we had our baby 4/23/09 at 1:30pm after 2 days of pre-labor.
I had been having contractions pretty regular for 2 full days. They were anywhere from 5-20 mins apart and never stopped. I was losing my mucus plug and had some bloody show. To be honest I was afraid that the prodromal labor would last a week or longer. It was exhausting so I went to the hospital to be checked by my midwife. It was my first vaginal check. I was 39 weeks 5 days. She found my cervix to be 1cm dilated and 90% effaced. All that hard work was paying off. My Midwife said that effacement was huge progress. I went home and waited for labor to start. It did just that!
Ctx started picking up at 2:30 am on a Thursday morning. They were about 6-7 minutes apart. With each hr the contractions grew about a minute closer. By 5:30 I called my doula to tell her the status. I was still convinced that this wasn't actual labor and that they would slow down eventually. I was wrong!
My plan was to labor at home for as long as I could so I hired a doula for support but also a home birth midwife so that I could have extra support and the comfort of knowing that the baby was doing good. She periodically monitored the baby's heart rate all through labor. He tolerated labor like a champ - never a deceleration which made me very confident that everything was going great. The home birth midwife also did about 3 vaginal exams during my entire labor to make sure that we didn't arrive at the hospital too early.
The first time the home birth midwife checked my cervix I was 3 centimeters and fully effaced which was at 7:30am. (I really think the EPO worked that I took from 36 weeks on and all that walking).
In the earlier part of labor I used the shower to relieve some of the pain. I had a lot of back labor because the baby was in a posterior position. I have to say it hurt a lot and all throughout labor the 2 support coaches and my husband put pressure on my lower back through each contraction, which helped more than I can tell you!
By 10 am the home birth midwife checked me again because I was in extreme pain and really wanting to give up at that point. I know that I said a couple of times that I really wanted to go to the hospital for an epidural (which was not my plan, I wanted to go natural) and that I couldn't take the pain any more. I was at 6-7 centimeters at that point. My support group knew that I really did not want the epidural and that they knew things were really picking up. I was really afraid that if I did have an epidural that it would slow the progression of labor or that the baby wouldn't react well and I would end up in another c-section. So, they talked me through this critical point in labor.
After about a 1/2 hr of pretty much losing it and wanting to give up I found my grove again. I ended up back in the shower on a stool. The water really helped. Every contraction I jumped up and leaned on my doula while she rubbed my lower back. I made it another 1 1/2 hrs. At that point I was 8 centimeters dilated and in a lot of pain.
The car ride was horrible. I was in so much pain and it was impossible to find a comfortable position. Thank God it was only 15 minutes away. I think I had at least 7 or 8 contractions on the way.
I had another 3 from getting out of the car to labor and delivery. By the time I got to the room I was already pushing. I couldn't help it, my body was doing it on it’s own. At first I didn't even know if I was really pushing or not. I really think because I didn't have any medication that I felt that very strong urge to push and my big VBA2C baby was out in 20 minutes! I thought that was pretty decent for a 1st time vaginal birth! I had a 2nd degree tear inside but no tear on my perenial. It really didn’t even hurt as much as I thought it would.
Happy to say we had a healthy baby boy. He was 8lbs 14 oz and 20 1/2 inches long. I can't say enough how much my doulas and husband really helped. I don't think I could have done it without them. They had confidence in my body’s ability even when I didn't.
Vaginal birth was such a completely different experience. I was able to eat, take a shower and walk around after the birth. It was amazing! I felt empowered and somehow healed from my previous birth experiences. I felt victorious that I was able to birth my baby even though he was almost 9lbs! I have since had another VBA2C in the comfort of my own home. My birth experiences have changed me forever. It has changed my career path as well. I now help women as a doula all over my state make empowered decisions through their own research and VBAC mom’s have a very special place in my heart..
It is amazing how much power your words and thoughts can have over your life. If you are having a bad day and you keep saying how horrible the day is, you are only affirming that notion in your head and most likely pulling yourself into a downward spiral. Changing your perspective on life starts with you, and the things you allow yourself to believe. Birth is no different. To truly have the positive birth experience you crave, it is best to start with a positive mindset. It seems simple enough, but often times women are not prepared mentally for birth and it can get in the way of labor, even causing it to come to a screeching halt at times. Work on preparing your mind, and during labor find a mantra, or a positive affirmation to keep repeating to yourself. Sometimes I find that even if you do not believe it at first...repeating it mulitple times will make you eventually believe it.
For example, when I was in labor with my second son, my vbac, I got to a really tough spot right after transition. It was time to start pushing and I just let my mind get the best of me. I was moving with each contraction and instead of saying my usual, "OPEN, OOOOOPEN" chant, I started doubting myself and found that I was saying, "I can't, I can't, I really dont think I can". Just saying those words brought me down a level. They freaked me out and placed doubts in my head. I tensed up and fought the pain, and actually made the pain intensify by freaking out and loosing my cool.
The power of your words is outstanding. Start now by making a list of the things you believe your body can do, what it will do, and what an amazing job you are going to do! Here are a few great things I believe you should tell yourself everyday, and especially once labor gets going:
I CAN
grow and nurture a baby with my body
contract and relax as my body works its way towards delivery
OPEN
find inner strength and peace
give birth vaginally
I AM
STRONG
CAPABLE
ABLE
READY
AT PEACE
PREPARED AND ENCOURAGED
MADE TO DO THIS!
I WILL
stay positive
have my vbac
focus my thoughts
prepare my body,soul,and mind to birth a baby
open my cervix
soften, and my baby will descend into the birth canal
Labor at home, for as long as humanly possible. I am talking till your about to feel the urge to push!
Find a VBAC friendly Midwife or OB. Ask for references and statistics from your provider. Ask alot of "what-if" scenario questions. Be prepared to switch providers if you feel they are not on the same page as you.
Become super knowledgeable! Learn all you can about every hospital procedure during birth and its positives and negatives. Read as much as you can to inform yourself about everything involved with a natural birth.
In addition to reading books about the process of birth, I believe it is very important to read tons of positive birth stories. I especially found the stories in Ina May Gaskin's book: Guide to Childbirth very inspiring and uplifting.
Hire a DOULA! According to Mothering the Mother: How a Doula Can HelpYou Have a Shorter Easier and Healthier Birth, Klaus, Kennell, and Klaus (1993) a doula can reduce your chance of having a cesarean by 50%! Not to mention the knowledge to be able to provide emotional and physical support in a time when you need more than anything else. Doulas can be a life-saver, a sanity saver, and a blessing to your vbac. I know this from experience. My doula helped me find my center during the time when I thought I would loose it all.
Take care of yourself. Eating healthy and exercising are both essential to any pregnancy. You are what you eat, right? Prenatal yoga can teach you how to center yourself, stretch your muscles, and loosen your anxiety.
Get connected with other VBAC-ers. They have been where you are, and can offer you support and encouragement. A great resource for this is through ICAN and their meetings.
I would love to introduce our first VBAC goddess/warrior/outright awesome birthing mama Tiffany! Read her amazing transformation from her first birth having an elective c-section to choosing to vbac at home with her second. I just love her story!
In October of 2005 my oldest daughter Sophie was born. The birth was exactly the way I wanted- a C-section. I was afraid of birth. My pregnancy was miserable- sick for almost 8 straight months all day long- I had to quit my job because I spent the majority of my shifts in the bathroom sick rather than the classroom. I was afraid of allowing my tailbone to break again during a vaginal birth- the way it had during the pregnancy after a horrible fall. I was given prescriptions to help ease my sickness, but none of them worked- and I heard several times “this is just part of the pregnancy all women get sick” My OBGYN loudly supported my fear that the bone would break, that the way it healed might not even allow the baby to be born vaginally- and the much easier and less painful would be to have a scheduled C-section. I fear pain- I feared childbirth, and I didn’t hesitate to schedule my baby’s delivery by caesarean section.
I went in on a Friday, 2 weeks before my due date, with complaints of my back and my doctor said I was at the beginning stages of labor and we should do the C-section now rather than coming back in later in the night when labor really took hold. I hadn’t experienced any contractions- but the Doctor knew what labor was so I trusted her. I called my husband and told him to leave work- that it was time. Quickly my family and friends filled my room as we waited for 3 30p.m. When it was finally time I was wheeled into the operating room and my husband waited outside until the epidural was in. On the 8th try my OB finally left the room to get another anesthesiologist to put in my epidural. I was told that there are two shots with an epidural. The first one is like a bee sting to numb the area where the medicine will go in. The second one I won’t feel at all. I find that to be a lie. I felt all 8 bee stings, and felt 8 attempts at getting the medication in. The anesthesiologist said my back was "unusual- probably because of my tailbone"- but when her college came in she got it on the first try (but to my body it was attempt 9). I instantly lost feeling from my chest down and that scared me. I heard a nurse say that my water broke, but I felt nothing and I couldn’t you if it broke naturally or if someone was examining me and they broke it. My husband finally came in and the c section lasted only 15 minutes. My daughter was born; I heard her cry and we cried. The doctors then told me it was a good thing I had done the C-section because she was stuck my pelvic bone with a very short cord and there would have been no way she would have delivered vaginally. To this day I believe that the cord was shorter than normal, but I don’t know if I believe in my heart that she wouldn’t have been born vaginally. It took almost 20 minutes for them to allow my husband to pick her up, to bring her to me. Her face was badly bruised and the doctors said it was because being stuck inside me, that many babies come out bruised but not to worry- the bruises would disappear in a few days. The brusies took almost 2 weeks to heal.
My recovery wasn’t bad-wasnt fun but wasnt bad either. Within two weeks I was back at church, going shopping, and really thankful that I wasn’t trying to recover from a broken tailbone- but on the inside something was really bothering me about the entire event. I knew I wanted more children- but to be that sick again for 9 long months and while taking care of a child. My doctors had said that if I wanted to try a VBAC with my next pregnancy it would fine- if I was willing to take responsibilities for the risks of uterine tears and the short cord will more than likely follow me with my next pregnancy so I had to understand I would more than likely end up with a C-section after hours of failing to push with results. The seeds of doubt they planted from the very start is so obvious to me now.
In 2008 we were due with our second child. My husband was so excited- I was scared. Sick again with no relief and at my very first appt we were told we might be allowed to do a VBAC but a C-section was much more likely because the risks of a VBAC were too great. I left the office knowing that I had to do something different this time- that I truly wanted something different. Not all women were this miserable; somewhere someone had to have a better way.
Several weeks later I went to a banquet and a friend of the family was giving me her congratulations on my pregnancy when I commented about how miserable I was. She said then that she had several babies and it wasn’t something to be miserable over- she started talking about her midwife and how beautiful her births were. Something inside me stirred. She introduced me to her midwife who gave me several tips about my “morning sickness”- she knew right away how dehydrated I was, that the medicine was upsetting my stomach more than helping, and offered some tricks of the trade. I kept thinking- how can something as simple as peppermint oil help me when prescriptions weren’t doing anything. But the peppermint oil worked and it worked so well that I began to look into midwives, homebirth, vbacs, and my options.
I didn’t know anyone who had a homebirth beside the friend who introduced me to her midwife. I sent a few emails asking her questions, I started reading anything I could get my hands on, and before I knew it I was in her living room asking her to take me on as a patient for a vbac home birth. The rest of my pregnancy was completely different then my first. The midwife helped me find a prenatal vitamin that didn’t upset my stomach, she helped me understand what my diet was lacking and point out better ways to cook healthier food. She asked questions that made us take responsibility for our birth and baby rather than just giving it over to someone else. We made up our own minds about vaccinations based on facts rather than assuming everyone had to be vaccinated, we knew we didn’t need a vit k shot after the baby was born, we knew we wanted to birth the baby in water and so much more. She gave us the tools and the confidence to trust birth and my body.
By the time my due date rolled around I felt like a brand new woman- confident, powerful and ready to deliver my baby. I had told the midwife that I needed laughter, that I wanted to eat and drink during labor, have my friends there to witness our baby’s birth. She agreed to everything and followed through with it during labor. The day after my due date was Mother’s Day and we were on our way to church for a pancake breakfast. My hormones were raging and I was crying because I thought the baby would have been here by now. Just another thing that this pregnancy taught me- babies come when babies are ready not when everyone else is. After church my parents had us over for lunch and I noticed some bloody show. I called the midwife and she said that it may be time- to relax and if contractions picked up to give her another call.
We went home and in my heart I knew it was time. We watched several episodes of my favorite tv show and I napped on the couch. When I awoke it was to an intense contraction. I smiled and told my husband it was time to start making some calls and get the birthing pool blown up. My mom and friends were on their way and by the time the midwife arrived I was ready to be in the water. The water was calling me. After I got in the birthing pool I was able to breathe through each contraction, there was laughter in-between, Disney lullabies playing in the background and my friends all there cheering me on. For almost everyone this was the first birth they witnessed, even the moms there hadn’t been a part of a birth unless it was their own.
After an hour or so in the water the midwife checked me and I was at 9 and almost ready to start pushing. I was amazed- I thought it would take endless hours and the contractions up to that point were totally doable- nothing so painful the way I had seen on TV or the way the doctors had explained. I don’t do pain- and that was not pain. I truly believe that fear made the contractions painful and I didn’t have any fears during my labor to that point.
But then I had a deep contraction and I threw up. I have to say I hate throwing up and it scared me- why all of a sudden was I puking? I smelled it; I wanted out and away from it- and that one moment made me loose track and become fearful. The midwife did her best to get me calmed back down. I knew I should expect the unexpected but throwing up was not part of my plan- and I did not want to do that again. She made me get up out of the pool, and I went into my bathroom standing next to my vanity- contractions standing up were intense. I didn’t like it at all. I wasn’t ready to get back in the water and they weren’t finished cleaning it so I laid down in my bed and began to cry.
The midwife asked everyone to leave the room- to give me a moment with my husband to try and get things back in control. She checked me and I went from 9 centimeters to 5. It’s amazing how the body become fearful and labor stalls. I began to let the fear overwhelm me- my friends weren’t there, I puked, it was so painful- something was wrong. Really wrong- maybe I couldn’t do it and maybe I should just stop and go to the hospital. The midwife walked out in the hallway to give me and Ryan a few minutes together and I begged him to tell me what was wrong. And he looked into my eyes and said, "Just stop Tif- you know what to do, you knew transition was going to be crazy, and you know how you get when you throw up. Now is the time to stop freaking out and have this baby.”
The midwife came in a few moments later with a glove of ice. Her assistant was massaging my lower back and explaining what the midwife was going to do with the ice. Because I closed back up and the feeling to push was so overwhelming The midiwfe used her experience to help soften my cervix. She used the glove with ice to help “melt” away the cervix and after only a few moments I was ready to push. I didn’t get back in the water- which I regret now. But at the time I was lost in my words and just ready to meet my baby. I started on my hands and knees, then leaned into my husband for a few pushes, rolled over on my back and began to really push.
There wasn’t anyone who was yelling at me to push- no one was telling me what to do – only encouraging me that I was doing it. To keep listening to my body, to each contraction. The room was full again with my friends, my mom was on my side confidently telling me that everything was all right, and my husband was on the other side silently holding my hand breathing through each contraction and kissing my forehead each time. The midwife helped me to avoid tearing by guiding me to slow controlled pushes, deep massages, and helping me open my eyes and see that the baby’s head was out and ready for me to give one last push. Pulling my baby onto my stomach the room filled with laughter, tears, and joy. I have never felt so powerful, loved, or happy in my life. I was truly exhausted but energetic. My husband exclaimed it was a girl and my heart leapt with joy. My little Lola was here. Born in the early morning May 12 at 1:37 am weighing 7lbs 6 oz and 20 and ¾ inches long.
Lola’s cord was shorter than normal- and there was a slight tugging sensation when I had Lola at my chest. We planned on delaying cord cutting until it stopped pulsating- giving Lola her entire blood supply, avoiding risks of jaundice, and helping me delivery the placenta easier. After almost 10 minutes I asked for the cord to be cut because I wanted to lift up my baby and the length of the cord wouldn’t allow me to. We clamped and Ryan cut the cord, and shortly after, I delivered her “Tree of Life”. The midwife showed us the placenta and explained its value.
Everyone cleared the room after a few moments, giving Ryan and I private time with our new daughter. For the first hour our daughter was only in our hands, only skin to skin with her mother, bonding and loving each moment. Later the midwife measured Lola and did a quick examine to make sure I was fine. We brought in our oldest daughter Sophie to meet her little sister and it was the most wonderful moment- to be in our home, with our daughters, with my body intact, with a new strength. Sophie fell back to sleep and the midwife came in to say her goodbyes. Two hours after my baby was born- we were all asleep in bed together.
Lola’s birth was the hardest and most rewarding thing I have ever done. It was walking away from the “norm”- to leave the hospital and their machines, to trust my body, to trust my midwife. To get back on track after I was sick during labor. To let go of my fear and give my control back to my body and let it happen. My birth team was such a big help- to have women there with their comfort and support was better then any kind of drugs. I know that they will share my daughter’s birth with others and let the word spread that yes you can birth your baby without drugs, without machines, even after a C-section- and that everything will and can come out wonderfully. My midwife and her assistant - were angles. They did not give up on me, they didn’t doubt my body, and gave me my confidence, they kept me and my baby safe during our journey. They make so little money and do so much compared to my doctors.
I have had both ways- medicated “pain free” C-section and natural homebirth. And if we are ever blessed to birth another baby- we will be at home. We will be in the care of midwife and I will know that without a doubt that I’m in the best place for my birth and my baby.
When I mentioned how badly I wanted a vaginal birth after my cesarean with my first the main response I would get from people was "WHY?". Let me tell you my reasons why a vbac was ,and is, so important to me.
After being so drugged up, and numbed from all the medications... I needed to FEEL. I needed to know I was alive.To feel the contractions rock my body, to feel that pushing sensation, to get this real and raw experience that NOTHING in the world can come close to, and to get through it all in the end and know that I DID THAT. Whew.
I knew that having a completely intervention-free birth was the best thing for my baby. Not just my baby, but all babies, and I am sad for the effects of all the drugs on my first son. A natural birth can lead to a better bonding experience between you and your newborn. The natural flow of hormones that rush your body after birth help you to instantly connect with your child on a deep and intimate level. You look into each others eyes and feel a rush of emotions! This initial bond can be inhibited by a intervention happy birth and a cesarean birth.
I wanted to prove to others and myself that I could do it. That I am not broken, and I am able to birth a baby.
Because the facts show that it is SAFER! With a natural vaginal birth after a cesarean, my chances of uterine rupture are very low- which is the common fear associated with having a vbac. The risks of a repeat cesarean are significant. "Success of trial of labor is consistently high, ranging from 60 to 80 percent, whereas the risks of uterine rupture is low, at less than 1 percent." -NIH Consensus Development Conference Statement on Vaginal Birth After Cesarean:New Insights, March, 2010. The risks associated with a repeat cesarean include: "clinically significant adhesions, perioperative complications at the time of subsequent repeat cesarean delivery, bowel and utereral injuries, and perioperative complications at time of non-pregnancy related hysterectomy."
