The VBAC Link

Meagan Heaton
The VBAC Link

Join us as we share VBAC birth stories to educate and inspire! We are a team of expert doulas trained in supporting VBAC, have had VBAC's of our own, and work extensively with VBAC women and their providers. We are here to provide detailed VBAC and Cesarean prevention stories and facts in a simple, consolidated format. When we were moms preparing to VBAC, it was stories and information like we will be sharing in this podcast that helped fine tune our intuition and build confidence in our birth preparation. We hope this does the same for you! The purpose of this podcast is to educate and inform- it is not to replace advice from any qualified medical professional.

  1. Episode 366 HAPPY NEW YEAR! Meagan & Julie + How to Prepare for VBAC

    3일 전

    Episode 366 HAPPY NEW YEAR! Meagan & Julie + How to Prepare for VBAC

    Happy New Year, Women of Strength! Meagan and Julie share an exciting announcement about the podcast that you don’t want to miss.  While they chat about topics to look forward to this year, they also jump right in and share stats about cervical checks and duration between pregnancies.  We can’t wait to help you prepare for your VBAC this year! Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Julie: Ready?  Meagan: Happy New–  Julie: Oh, are we supposed to say it together? Oh, sorry. Okay, I’m ready. Let’s go again.  Meagan: No, you were just saying okay, but let’s do it together. Okay, ready? Remember I did this last time?  Julie: Okay, 1, 2, 3–  Meagan and Julie: Happy New Year! Julie: No, it was not right.  Meagan: Well, we’re going to leave it. You guys, we’ve been trying to say Happy New Year at the same time. There is a delay, I’m sure, on both sides, but Happy New Year, you guys. Welcome to The VBAC Link. It is 2025, and we are excited for this year. Oh my goodness.  Obviously, you have probably caught on that there is another voice with me today.  Julie: Hello.  Meagan: I have Julie. You guys, I brought Julie on today because we have a special announcement. I didn’t let her get away for too long. I didn’t want her to go. I couldn’t. If you haven’t noticed, I’ve been bringing her on. I’m like, “Can you do this episode with me? Do you want to do this episode with me? Do you want to do this episode with me?” And now, at least for the next little bit, she’s going to be doing her own episodes. She is helping me out.  Julie: Yeah.  Meagan: We have been doing two episodes a week for almost a year now, and it’s a lot. It’s a lot.  Julie: You have been such a champ.  Meagan: Oh my goodness. So that’s what we’ve been up to. I decided that Julie needed to help me. She was so gracious to say, “Yeah, I’ll do it.” Get this, you guys. She was nervous the first time.  Julie: I was like, “I don’t know what I’m doing.” Meagan: But she totally does know what she’s doing. But yeah, so you will be hearing every so often Julie’s voice solo. She is going to be hosting the show solo, so you will be hearing a little bit of a new intro with her and I where we are both talking so you don’t get confused, but I don’t think it is very confusing. Julie has been with us since the very beginning because her and I created the company. It’s been so fun to have her here, so thank you, Julie, for helping me out.  Julie: You are always welcome. It’s always a pleasure.  Meagan: I’m trying to think. I want to talk about 2025 and some things that we have coming up as far as stories go. As a reminder, if you have not subscribed to the show, please do so. As you subscribe, it will send you the episodes weekly.  Right now, like I said, we are doing two a week, so soak it all up. We have so many great stories. We have stories from OB/GYNs. They are doing Q&As. We have polyhydramnios.  Julie: Polyhydramnios.  Meagan: Yes. I always want to say dramnios. We are going to be talking about that because we have a lot of people who have been asking about more unique things. Poly is not necessarily unique, but it’s not talked about, so we are going to talk about the high fluid, low fluid, unsupportive providers, and if you have been with us for a while, the biggest thing that we talk about is supportive providers.  Julie: Mhmm. Meagan: Maybe it’s not the biggest, but it’s one of the biggest. We talk about finding a supportive provider all of the time. It is so important. Then we’ve got vaginal birth after multiple Cesarean, twin births, gestational diabetes, PROM– if you’re new to that one, that is premature rupture of membranes meaning that the waters break, but labor doesn’t quite kick in.  Whave else do we have? We actually are going to do some re-airing. We are going to rebroadcast some of our older episodes that we just think are gems and wonderful or have connections with people like Ali Levine. She came back on recently and we want to bring back her episode. Dr. Stu– just some really great episodes from the past and thinking about how long ago that was, Julie–  Julie: Oh my gosh.  Meagan: As I’ve been going through these podcasts, holy cow. Some of these are in our 70’s or there was actually one that was out 17th episode or something like that.  Julie: We need to re-air the dad’s episode. Do you remember that one time when we had all of those dads on?  Meagan: Yes.  Julie: That was so good.  Meagan: That was so good. It was a lot of fun.  Julie: You need to put that in a spot. It was so good. I remember, I can just be taken back to us in the studio recording and calling each of these dads. It was so cool.  Meagan: It was. It was really fun to hear their take on it and their opinion of doulas, their opinion of VBAC, their opinion of birth and how they were feeling going into birth, and how they felt when their wives were like, “Hey, I want to do this.” Yeah. Do you know what? That’s for sure. We will make sure that is re-aired as well because I do know that we get people saying, “Are there any episodes that can help my partner or my husband?” because they want to really learn how to get the support for them or help them understand why. Or Lynn. Guys, there are so many of these past episodes that we will be bringing back.  Julie: Lynn’s episode was so great.  Meagan: That was so great. We’re going to be having home births. Forceps– VBAC after forceps or failure to progress or failure to descend or big baby. We’ve got so many great things coming this year, so I’m really, really excited. I also wanted to share more about what we’ve going on the blog. We have had weekly blogs, so if you haven’t already subscribed to our email list, go over to thevbaclink.com and subscribe. We send out weekly emails filled with tips or recent episodes. We have a lot of questions in The VBAC Link Community on Facebook. We see some repetitive questions in there, so we respond to those via email.  Those are really good. We’ve got cervical checks. When is it good to do a cervical check? When is it not good?  Julie: Umm, never?  Meagan: When is it not good to do a cervical check? When are they really necessary? What do they tell us? We’re going to be diving into that. We have a blog about that. Do you want to talk about that for a second, Julie? Let’s talk about that.  Julie: Okay. I understand that there is nuance. That’s the thing about birth. There is nuance with everything. There is context with everything. It just reminds me of the recent election and things like that while we are recording. There are all of these one-liners are being thrown around on both sides. One sentence can be taken out of context in big ways when you don’t have the context surrounding the sentence. For both sides, I’m not pointing fingers at anybody. I’m sorry if that’s triggering for anybody. I know there are a lot of people upset right now.  But the same thing with cervical checks. Isn’t that true with all of life? All of life, all of birth, and all of VBAC, there is nuance and context that’s important. I would say that most of the time, most of the time, cervical checks are not necessary. They only tell us where you’ve been. They don’t tell us where you’re going. They are not a predictor of anything. I’ve had clients get to 8 centimeters and not have a baby for 14 hours. No kidding. I’ve had clients push for 10 hours.  I’ve had people hang out at 5 centimeters for weeks, then go into labor and have the baby super fast and also super slow. It doesn’t tell us anything.  However, there are times when it might be helpful. I use that really, really carefully because it can only give us so much information. I feel like sometimes the cervix can swell if you’ve been in labor for a really long time, or if the baby is in a bad position, so if labor has slowed or hasn’t been progressing as much as expected– and I use that term very loosely as well. There might be a suspicion for cervical swelling. Having a cervical check can confirm that, and having a swollen cervix will change the direction of your care.  I would say that maybe an important question to ask– and this is a good question for any part of your care– is, “How will this procedure, exam, intervention, etc. influence my care moving forward?” Because if it’s not going to influence your care moving forward at all, then is it necessary?  Meagan: Why do it? Julie: Right? So, a swollen cervix, maybe checking baby’s position. You can tell if baby’s low enough. You can see if their head is coming asynclitic or with a different type of presentation. Again, with a suspicion that it might be affecting labor’s progress. Meagan: You can check if they are asynclitic.  Julie: But, how would your care change if you find out that baby is asynclitic? What would you do if that is the result of the cervical check? If the answer is nothing, then I don’t know. But also knowing that baby’s position or knowing that you have a swollen cervix, there are things that you can do to help labor progress in the case of a malpositioned baby or for a swollen cervix. First of all, back off on Pitocin or take some Benadryl or things like that that can help with those things.  But honestly, I think most of the time, cervical checks are another way for the system to chart and keep records, that they are doing their job, that things are happening normally (in air quotes, “normally”) so they can have their backs covered.  It’s really funny. There are other ways to tell baby’s position. There are other ways to notice. Midwives, especially out-of-hospital midwives know all of these things. They can gather all of this data without cervical checks,

    27분
  2. Episode 365 Goodbye to 2024 + VBAC Prep Info From This Year + Plans for The VBAC Link in 2025

    5일 전

    Episode 365 Goodbye to 2024 + VBAC Prep Info From This Year + Plans for The VBAC Link in 2025

    We can’t believe we have arrived at the last episode of 2024! This year has brought so many incredible and empowering births. We loved hearing how each of you fought for your birth goals, magnified your voices, and showed your strength.  In today’s episode, Meagan sums up The VBAC Link’s 2024 achievements and shares some of the exciting things she has in store for 2025.  The VBAC Link Supportive Provider List The VBAC Link Doula Directory How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hey guys, it’s Meagan. Guess what? Today is our last 2024 episode. I cannot believe it is the end of the year. I absolutely cannot believe it. It feels like just yesterday that we started doing two episodes a week, and here we are 11 months later. We started in February.  You guys, it has been such a great year. We have had so many incredible episodes from placental abruption, faith over fear, breech VBACs, post-dates, what hospital policies mean,and National Midwifery Week. One of my favorites, well actually, two of my favorites because he came on twice, was Dr. Fox. We had Dr. Fox a couple of times. We’ve had doula tips from VBAC episodes. We’ve had some fun episodes where we’ve had some VBAC Link-certified doulas as cohosts. Oh my gosh, so many great things.  I don’t know if you noticed, but in October, we started doing a themed week. Every two episodes in one month was a theme. For October, we had midwifery. It was National Midwifery Week so we talked about midwives and the stats about midwives. We had CNM Paige come on with our very own Lily who talked more about midwifery care, what does it look like, how to choose, can a midwife support VBAC, and all of that fun, fun stuff.  And then in November, it was Veteran’s Day so we had some military mamas on there and more about how to navigate that. We talked a little bit about Tricare and tips about navigating birth as a servicemember or as a significant other. That was really, really fun. This month, we touched on uterine abnormalities. We had Flannery talking about her bicornuate uterus and more about specific types of uteruses and what that means. It’s so weird to think, but there are different types of uteruses, you guys. That doesn’t mean that if you have a different type of uterus that you can’t VBAC. It may mean that you may be faced with some challenges like a breech baby or something like that, but we wanted to share more about that because that’s not talked about.  But it’s not going to stop. We have got that coming all year. 2025 is going to have a lot of really fun, specific episodes. The reason why I did this is because I wanted to have a whole week in two episodes where people could come and just binge two specific episodes that they may be looking for.  We have a lot of people writing in saying, “Hey, I’m looking for VBAC after multiple Cesareans. Hey, I’m looking for breech stories. Hey, I would like to hear more healing CBAC stories or planned Cesarean stories.” We wanted to have it so they could just do two episodes back to back. Then of course, there are episodes throughout the whole podcast that we have that you can go back and find, but this way, you can find it in one week, two episodes back to back. We’ve got things like CBAC coming, VBAC after multiple Cesareans. We’ve got breech. We’ve got OB week. That’s going to be fun. Oh man, I’m trying to think. So many other things. Special scars. We have a special scars month. We are just going to have months where it’s typically going to be that second week where it will be a specific theme and topic. Don’t forget to check that out coming up in 2025.  Like I said, we started that up in October.  Okay, so some other really fun and exciting things coming up, I do have a surprise for you, but unfortunately, you’re going to have to wait until 2025. I’m really excited for this series. Yeah. It’s going to be so good. Make sure to come back next week in 2025 to learn more about a surprise that I have coming your way.  Then, in addition to that surprise and our themed weeks, I’m actually going to be rebroadcasting some of our old episodes. As you know, we are getting up there. We are at 365 episodes today which is so dang exciting. I cannot thank you guys enough for continuing to support this podcast, for coming back, listening, downloading these episodes, and just being here with us. We see you in our community on Facebook. We see you on Instagram. We see you downloading and listening. We are getting messages in regards to these stories and how much they are connecting with people. You guys, these stories are incredible. Just a reminder also, we are always accepting submissions. Now, we can’t get to every submission because we do get a lot of submissions which is so fun to go through. We share them on our social media if we can’t sometimes share them on the podcast, but please, if you have a story that you would like to submit and share them with other Women of Strength who are coming after you and are wanting to hear these empowering messages, go to thevbaclink.com/share, I believe, and submit your podcast story.  Okay, going back. We are rebroadcasting episodes. I have gone back and listened to probably 10 or 12 episodes. Some of our really, really amazing episodes, and I’ve found some nuggets after re-listening that I’m pulling through and giving tips. We’re going to have extra tips, extra links, and also if there have been updated things or updated studies from 2018 that have now been updated, we want to make sure that we freshen up these episodes and bring them back to more recent episodes.  If you have a favorite episode that you would like to hear rebroadcasted or one that you listen to on repeat, will you let us know? Email us at info@thevbaclink.com and let us know what your favorite episode is and why, or if you are looking for some more information or want us to elaborate more on a topic that maybe we have discussed but didn’t go too far into detail that I can maybe go into deeper detail about.  Okay, I’m trying to think, you guys. We’ve had so many amazing things this year. Blogs– we have been pumping out blogs like crazy. There are so many things from preparing for your VBAC, 5 things to do before you get pregnant, recovering from a Cesarean birth. You guys, if you’ve been with us for a while, you know we absolutely love and adore Needed. We wholeheartedly love and trust everything they produce. We love them.  They have really been so gracious to offer us a wonderful 20% off discount code, so don’t forget that. That is still valid. You can go to thisisneeded.com and type in VBAC20 and get 20% off your order.  We talk more about why prenatal nutrition matters. We talk about creating your ideal hospital environment. We talk about C-section scar massage and why it’s important. That is a big one that isn’t talked about enough. We talk about hiring doulas, things to put on your registry, more about red raspberry leaf tea. We talk about heartburn, Tums, and also what else Tums can do to help us in our VBAC.  So many things. We talk about positions and using the ball. Oh my gosh, just so many incredible things. We’ve got so many blogs coming at thevbaclink.com/blogs so make sure to check out the blog and learn more about these topics. Membrane sweeps, VBAC after multiple Cesareans, uterine rupture, if you’re looking for that VBAC provider, definitely check out that blog about how to find out if you need to switch your provider.  Then of course, we have our VBAC course. You guys, I love our course so much. Another big reason why we are going to be re-airing our episodes is so that we can keep updating our course. Birth in general is updating all of the time. This course– Julie and I created it a long time ago, and it is my baby. I am so excited for this course because I have seen so many people get the information that they need, feel more empowered and equipped to have a VBAC, then we actually have a birth worker course. The birth worker course is to certify VBAC doulas, our birth workers, and it is accredited. It is 8 ICEA credits, so if you have a doula that hasn’t been in our course yet,  maybe suggest that to them or if you are a birth worker listening, I highly suggest it.  We have a VBAC Link Doula directory, so if you are looking for a doula or, like I said, you are a birth worker and you want to be found, we want to help you be found. You can find a doula at thevbaclink.com/findadoula, and if you are a birth worker, you can check out your area. California, I know needs more doulas. Texas, there are a lot of states that need more doulas. We would love to add you to your family. Okay, you guys. I’m trying to think what else. Oh my gosh. I could not leave without saying this. This year, we updated our provider list. It is on Instagram. You can go the The VBAC Link at Instagram. Click on our linktree in our bio, and it is the top one to find a supportive provider in your area.  Now, if you have a provider that should be on this list or if you are a provider and wantt o be on this list, please email us at info@thevbaclink.com or you can email us on Instagram so we can get your provider listed. We really need providers who accept VBAC after multiple Cesareans, breech VBAC, and who are just VBAC supportive in general.  You guys, it is so stinking silly and stupid how hard it is to sometimes find a provider. Please check out that form. If your provider is supportive, please, please, please let us know so we can get them listed.  Okay, you guys, I think that is about everything. It has been such a great 2024. I am so grateful again for you guys. I hope you will continue to join us for 2025 because we do have more incredible episodes coming your way from a lot of VBA2Cs. We have polyhydramnios (high fluid). We have HBACs. W

    12분
  3. Episode 364 Georyana's Surprise Breech HBAC + Postpartum Anxiety

    2024. 12. 25.

    Episode 364 Georyana's Surprise Breech HBAC + Postpartum Anxiety

    Merry Christmas and Happy Holidays, Women of Strength!  We have another beautiful VBAC birth story for you today from our friend, Georyana. Georyana shares how she went from having an unplanned Cesarean with her first birth to a planned HBAC but unexpected breech delivery! During her first postpartum period, Georyana experienced postpartum preeclampsia, depression, and anxiety. She and Meagan dive into coping tools and resources available for anyone else going through the same. While prepping for her VBAC, Georyana also talks about the power she felt while listening to other stories on The VBAC Link Podcast. She knew she had to give her body the chance to show what it was capable of.  “If it could happen for her, it could happen for me. Why disqualify myself? Why disqualify my body?” Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hello, Women of Strength. Merry Christmas to you. It’s so fun to be recording today. It’s actually not even October. It’s September when we are recording, but it’s so fun to think how close we are to Christmas. I hope you guys are having an amazing day, and if you are listening the day after Christmas, I hope you had an amazing Christmas.  We have our friend, Georyana, with us today, and she is from Florida. Hello, love. How are you?  Georyana: I’m doing well. How are you?  Meagan: I am so, so great. I was going to say that as you may hear, she’s got her little one on board, so we may hear all of the little baby coos and noises. What is your baby’s name?  Georyana: Her name is Sophia Victoria.  Meagan: Sophia Victoria. I love it. I’m so happy she’s here. I actually love when we have babies because I don’t really hear those noises anymore. I hear them as a doula for a minute, but I miss those little coos. It’s so fun.  Okay, like I was saying, she is from Florida. She’s a stay-at-home mom of two beautiful babies, a three-year-old and this one-month-old that she’s got with us. She works part-time remotely and is a Christian and serves as a worship leader for the youth group worship team. Is that correct? Georyana: Yes.  Meagan: Awesome. I love that. She says that she’s officially started homeschooling her toddler this year which is super exciting. That is exciting. We’ve had so many moms on the podcast lately who are like, “I’ve quit my job. I’m homeschooling,” or “My full-time job is homeschooling.” That’s amazing.  Georyana: Yeah. Yeah. It really is just to be able to soak in all of these moments with your kids. Time flies so fast. You just want to treasure everything.  Meagan: It’s so true. It really does. I have a 7th grader which is crazy, so yeah. Super crazy.  Remind me, you used Needed’s iron? Georyana: Yes. I’ve actually used it for postpartum. Meagan: Yes. I wanted to talk about that because we talk about their prenatals and all of the other things to do during pregnancy. We haven’t really talked about the iron, so can we talk a little bit about why you’re taking iron and how it’s been? Georyana: Yeah, so after this pregnancy funny enough which is something I’ll tell during my story, but I passed out after I gave birth. I believe it was due to a lot of blood loss and low hemoglobin, so after I gave birth, I kept taking my prenatals, but my prenatals only had 15 milligrams of iron in them. That’s when I decided to go for Needed. I had heard of a lot of amazing reviews. I had heard about it too on The VBAC Link.  I’m only taking one additional per day, so I’m taking around 30 milligrams of iron.  Meagan: Have you noticed a difference? Georyana: Tremendously. Yeah. Yeah. Definitely less fatigue, more energy. I was getting dizzy a lot during the early days of postpartum and breastfeeding, so that helped a lot too.  Meagan: That’s what I was going to say. It’s probably helping you breastfeed as well.  Georyana: Yeah. It’s definitely an amazing supplement.  Meagan: That’s so awesome to hear. I believe in Needed’s products wholeheartedly, so it’s so fun to see that other people are loving it too.  We do have a Review of the Week, so I want to get into that really quickly, then we are going to turn the time over to you to share these stories. This is from nnoah and it says, “Generational trauma”. It says, “This podcast and the Facebook group have been a godsend to me. After my 56-hour failed induction and emergency C-section due to very low heart decelerations with my daughter, I told my husband I would be happily scheduling my C-sections from now on. My sister-in-law told me I could VBAC, but I had no hope that my body could birth after such a drawn-out process that ended in ‘failure’. My mom had three C-sections herself with the first being highly traumatic, and I never realized how much her birth experience has influenced my own physiological state as I approached labor and delivery. I researched everything with my first from breastfeeding to infant development and sleep, but I did not read a single book or take a single class on birth. Now, I realize it was because of how much fear and trauma I was carrying around with me from my mother’s experiences. I walked into birth ready to fail because I didn’t think I could do it. I wasn’t tough enough.” She says, “After listening to this podcast, it has me believing in my body and preparing my mind even more before we try to conceive our next baby. I have begun working through my birth with How to Heal a Bad Birth,” which we absolutely love if you want a good book on how to heal a bad birth. That is one of our favorites.  It says, “I’ve already interviewed a VBAC-Link certified doula to assist me in my next birth when we conceive. The resources, podcast, and recommendations here have had me anticipating my next birth with excitement rather than dread. I couldn’t be more grateful for this resource. Thank you.”  Wow. So many things within that review. I one, am so thankful for that amazing review, and I want you to know that we are here for you and this community and these stories are here to help empower you even further going into your next birth. I love that she said that she had a doula before she was even conceived. She’s found the doula she’s going to hire, and as soon as she conceives, she can hire that doula.  As a reminder, just like she said, we have a VBAC directory with VBAC-certified doulas. You can go to thevbaclink.com/findadoula and look for a doula in your area. Okay, mama. Oh, look at this cute little baby with a full head of hair.  Georyana: Yeah, she had a lot of hair. That’s how she was born, with a lot of hair.  Meagan: Her hair was probably born first. It’s so long, oh my gosh. Oh, I’d love to turn the time over to you to share these stories of yours.  Georyana: Okay. Well, just like every VBAC, it starts with a C-section. Mine was in 2021 with my first son. It was an overall healthy pregnancy quote-on-quote. Every prenatal visit was normal for the most part. There was nothing out of whack. I do want to be transparent and say that I did not eat healthy or exercise knowing that I was supposed to. I remember working at this part-time job, and literally after I was done clocking out, I would go straight for the Chick-fil-A. It was Chick-fil-A every day. I ended up gaining around 87 pounds during my pregnancy.  Meagan: Wow, okay.  Georyana: I was 215 when I delivered. At around 39 weeks with my OB/GYN, she was like, “I want to schedule a C-section because your baby’s measuring really big.” We did the whole– I forget the word– where they actually check the baby’s weight.  Meagan: Oh, like a growth measurement in an ultrasound.  Georyana: Yeah, she was like, “This baby is already a 10-pounder.” I was like, “Oh my gosh.” I was freaking out because I really wanted to give birth naturally. That was something I had told her about, but she was like, “No, let’s schedule a C-section.” We were going back and forth, and she was like, “Okay, well at least we are going to get an induction date.” She set up an induction date for March 15th. It was a Monday.  I started going into labor. I started going into labor on Friday spontaneously. I went into spontaneous labor. I didn’t really know that much about laboring at home and all of the things like right now that I know you’re supposed to do.  Yeah. I had labored at home for an hour or two until contractions started getting intense. I went to the hospital which was an hour away. I checked in. They checked me. I was 2 centimeters dilated, and they took my blood pressure. They were like, “You have high blood pressure.” They didn’t give me a reading or anything, but they were like, “We’re going to make you stay. We’re going to have you stay. We’re not going to send you home.”  I was like, “Okay. You guys know what you’re doing.” I started laboring for an hour or two, and then a nurse came in and I had explained, “I really want to try and go for a natural birth.” She was like, “Okay. I’m going to give you an hour. I’m going to give you an hour.”  Meagan: What? Georyana: “I’m going to give you an hour and see where you are as far as dilation and as far as progressing.” I was like, “Okay.” An hour went by. Mind you, I was strapped to the chair because there’s something that you’re never really taught, to move around while you are laboring.  At the one-hour mark, she comes in. She checks me, and I’ve gone nowhere. She goes, “I’m going to put you on Pitocin.” Things started getting really crazy at that point because it was my first time feeling contractions, and those contractions were horrible. They are so intense, and now having had experienced these natural contractions from my VBAC, you can automatically tell the difference.  She puts me

    44분
  4. Episode 363 Aubrey's Induced VBAC with ICP (Cholestasis)

    2024. 12. 23.

    Episode 363 Aubrey's Induced VBAC with ICP (Cholestasis)

    Aubrey shares her three birth stories that tell of resilience, healing, trust, and miracles. She has had a vaginal birth, a crash Cesarean, and a VBAC– all of which presented cholestasis.  Aubrey’s first birth was a long but routine induction. Her second birth was a traumatic whirlwind including a complete placental abruption, general anesthesia, and her baby miraculously surviving 15 minutes without oxygen.  Though her third pregnancy had many complications, the open and honest relationship Aubrey had with her provider is what ultimately led to her TOLAC and successful VBAC at 37 weeks and 6 days after another medically necessary induction.  Aubrey is proof that no two births are the same, and miracles happen even when circumstances threaten to say otherwise.  **Aubrey also wanted to mention that after her VBAC, she was readmitted to the hospital for postpartum preeclampsia. She had a headache every day, decided to eventually buy a blood pressure machine, and it was through the roof. She took herself to L&D, and they put her on magnesium. Aubrey had no idea it was even possible to get it postpartum and wanted to share! Managing Cholestasis Symptoms How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hello, everybody. It is almost Christmas, and I am so excited to bring another story your way. This is a VBAC story from a mama who is from Louisiana. She had quite a few roadblocks within her pregnancies that could have easily stopped her from having a VBAC, but she really established a good relationship with her provider even though her provider wasn’t actually as gung-ho or excited about the VBAC specifically because she was nervous, together they communicated their feelings and understood where each other were, and came up with a plan to ultimately have a VBAC. I just respect that so much. It’s important to know. We talk about providers all of the time. Providers are so important, and they make such a big impact on our outcome, but this provider, even though she wasn’t really comfortable with VBAC, she truly believed in our guest, Aubrey, today. You’ll have to hear it from her own words. It’s awesome to hear how everything unfolded.  We also have a topic today that maybe isn’t shared a ton. It’s called ICP or cholestasis that we are talking about. It is a liver condition that can occur during pregnancy and cause a range of symptoms. A lot of the times, it is baby being born that is the thing to end cholestasis. We are going to talk a little bit more about that, but I wanted to go over some of the symptoms.  We’ve got dark urine, pale or light gray stools, and she’ll talk about this. That is definitely something that is not normal in pregnancy, so if you are seeing that, that is a reason to contact your provider. Nausea, she described some other symptoms there. Decreased appetite, pain in the abdomen, or jaundice. These are some things to look out for.  Now, there is a website called icpcare.org. We’re going to make sure to attach that in the show notes, so if you have had cholestasis before or you want to learn more about cholestasis and how to manage the symptoms, and what types of things like healthy diet, they have so many amazing resources on their website. They even have recipes and different types of healthy fats and grains and legumes and things that we can focus on. We know that all of the time in pregnancy, really what we are putting into our body is so important.  Definitely check out icpcare.org if you want to learn more about ICP and managing symptoms and resources and community support and all of the above.  We do have a Review of the Week, so I want to get into that, and then turn the time over to Aubrey.  This reviewer is reneekc89. The review title is, “A Turning Point”. It says, “When I was pregnant with my first, I was one of those ‘whatever happens is fine’ moms about birth. Then I had an unplanned Cesarean after a stalled induction. It wasn’t until I saw family members and friends so easily have vaginal births that I knew I had to try something different the second time around. I found this podcast through a local mom’s group and immediately binged every episode. I continue to listen every week even after my successful VBAC in October 2020.” It says, “Listening to what seemed like every possible outcome helped me release my fear that I might have had. I felt emotionally prepared for anything that might have come my way. I switched hospitals and advocated through my entire 25-hour labor in the hospital, and felt like every decision was a conversation between two adults rather than demands.”  Oh, what a powerful thing right there, you guys. She says, “I advocated throughout my entire 25-hour labor in the hospital and felt like every decision was a conversation between two adults rather than demands.” That is how it should be.  It says, “I have to thank this podcast for helping me gain that kind of confidence. Thank you also to the Facebook Community for always answering my questions.”  Oh my gosh. Thank you, reneekc89, for that review. Just a reminder, you guys, if you have not found us on Facebook yet, check us out. You can find us at The VBAC Link Community. You have to answer a few questions to get in, and then you’ll get into this amazing community. We have the community on Instagram, and Facebook, and in this Facebook group. I believe so much that this Facebook community will empower you along the way. Like she said, you can ask questions, share pictures, and share concerns, and share triumphs and feel that love and support along the journey.  I also wanted to throw out that we have a CBAC group, so if you are going for a TOLAC and it does end in a Cesarean, or you choose a Cesarean birth after a Cesarean, this group is here for you as well. You can find that at The CBAC Link Community on Facebook.  Meagan: All right, Ms. Aubrey. Welcome to the show. Thank you so much for being here. I know you’ve probably been waiting. I feel like there are so many times when people are really excited to record their story, then I’m like, “Hey, you’re going to be aired this much further out.” You have two months to wait. You’re recording now, and then in two months, you’ll be airing on, but I’m so glad you are here to share your three stories.  You had a C-section, then two VBACs, right?  Aubrey: I had a vaginal birth, then a C-section, and then a vaginal birth.  Meagan: That’s why I’m thinking two vaginal births. So vaginal birth, then Cesarean, then vaginal birth. You’ve got all sorts of different things added to your story.  Aubrey: So many.  Meagan: Cholestasis is one of them, right? Aubrey: Yes.  Meagan: Okay. I’m excited to talk about that, because I think a lot of people think with cholestasis, there’s only one answer. We’re going to be talking about that, but I’m going to turn the time over to you. Aubrey: Okay. I guess we’ll start with my first birth. Heads up if I cry at all during it because I just do that sometimes.  Meagan: That is okay. That is okay.  Aubrey: My first pregnancy was totally normal. I had no complications. I was big and miserable, but that was about it. I did have SPD, so my pelvis hurt really bad. I didn’t know enough about it to go to a chiropractor to fix it. That was really my only thing until right at 38 weeks, it was that night at about 11:00 at night. I started itching on my feet. I couldn’t scratch the itch. I got my husband’s socks, and I put gel ice packs inside of them and wore them. That helped, then the itching started in my hands.  This had been going on for about 2 hours, so I got in a really cold bathtub. The itching had started to spread more. It wasn’t just my hands and my feet. It wasn’t a normal itch. It was coming from underneath my skin. It was like my blood was itching.  Meagan: People have described it to me as an unreachable itch. Aubrey: It is. It’s the most miserable.  Meagan: You touch the spot, but you can’t get to it. Aubrey: Yeah. It’s like when the inside of your ear itches. You’re like, ugh. It’s like that but all over. Nothing helps. I called the after-hours line at probably 4:00 in the morning. The doctor on call was like, “Pregnancy can be itchy. Take some Benadryl.” I was like, “I’ve already taken Benadryl. It’s not helping.”  She was telling me to take some creams, and I knew something else was wrong. I spent the rest of the morning researching. I came to the conclusion that I was 99% sure that I had something called cholestasis, and that I was going to have to be induced. One thing that solidified that was that there were other symptoms that I didn’t know about. My stool was white. It was really weird. It just was white-colored. I had this really violent episode of vomiting beyond anything I had ever experienced in my life. That’s one of the things. It’s this uncontrollable exorcist-style vomiting.  Meagan: I actually did not know that.  Aubrey: Yeah. It was unnatural. I remember thinking, “That was so weird,” but it was a couple of days before that, and then the next day or so was when I had the weird white-colored stool, but again, I had never been pregnant, so I was like, “I guess this is just pregnancy,” then the itching. That’s when I put it all together, and I was like, “Well, I’ve got cholestasis.”  My husband was working that weekend, so I got my best friend to bring me to the hospital. When we got there, I was scratching all over. I was saying, “I’m pretty sure I’ve got cholestasis.” They clearly didn’t believe me. They weren’t being ugly. They were like, “All right. Let’s see what’s really going on here.”  They put me in triage, and the on-call doctor came in. She is a lovely person. I don’t mean anything bad, but she walked in. She said, “Okay,

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  5. Episode 362 Marlene's VBA3C + Fighting for Healing

    2024. 12. 18.

    Episode 362 Marlene's VBA3C + Fighting for Healing

    Marlene joins us from California sharing her journey to a VBAC after three C-sections. She was a teenager with her first, and her doctor suggested scheduling an elective C-section for convenience. Marlene didn’t even know what a C-section was. She became more educated with each birth experience. Still, when it came time to advocate for her physiological VBA3C birth, there were no hospitals, doctors, midwives, or doulas who would support her.  Marlene decided to free birth at home with her husband. During labor, she made the call to transfer to the hospital. She arrived at 9.5 centimeters dilated and pushed her healthy baby out in just two pushes.  Though she experienced resistance all along the way, Marlene kept fighting for the vaginal birth she knew she could achieve! Marlene's Doula Website: Designed to Birth How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hello, Women of Strength. We are a week away from Christmas. I just cannot get over how fast this year has gone and how many incredible stories we have heard. I cannot wait to hear more stories next year. Today’s story is a VBA3C story. These are stories that we get requests for daily. On Instagram, we get people writing us saying, “I need more stories of VBAC after multiple Cesareans. Is VBAC after two Cesareans possible?” Yes. The answer is yes. We have Marlene here with us. Hello, Marlene.  Marlene: Hello.  Meagan: She’s going to be sharing her story just showing you how possible birth is. We have a Review of the Week. We’re going to get into that, then we are going to turn the time over to Marlene.  This review is by Rachel, and it says, “11 out of 10. Would be best friends with these ladies.” I love that. You guys, we feel like we are best friends, too. Even though we haven’t met half of you, we just love this community so much. We feel like we are best friends. It says, “Amazingly knowledgeable doulas with a passion for compassion and birth. Funny, kind, smart. Specialized in VBAC. If humans are exiting your body, you want them by your side.” I love that. That is such a fun review. Thank you so much for your review  You guys, if you have not yet, please help us kick off the 2025 season with some new reviews. You can go to Google and just type in “The VBAC Link” and you can leave us a review there, or you can leave us a review wherever you listen to your podcasts.  Meagan: Okay, Marlene. Welcome to the show.  Marlene: Thank you.  Meagan: I’m so happy that you are here and excited to hear more details about these journeys of yours that led you to the final VBAC after 3 C-section point.  Marlene: Yeah. Sorry if I say “like” or “um” so much because I’ve been on a few podcasts, and it never gets easier. For some reason, I am always so nervous.  Meagan: It is hard. This is episode 300 and something, and I still say “like” and “um”. It happens. Listeners, just know it happens. Picture yourself sharing your story and thinking about what you’re sharing and who you’re sharing it too and what you need to share for them. It just happens. “Um” slips out. Marlene: Okay. So, I’ll get started. I really want to tell my VBAC after 3 C-sections, so my fourth story, but I will get into a little bit of my first three because that paints the picture of how I had my VBAC after 3 C-sections.  I was 18 when I had my first. My son is now 15. He’s going to be 16 in November. Man, time flies.  Meagan: Oh my goodness. It really does.  Marlene: Yeah. I grew up in the LA area in Norwolk, so the outskirts of LA. I grew up with my grandparents because my parents were drug addicts and in and out of jail. The social workers took us and put us with my grandparents. There were 7 of us. We were fortunate to be together with family and my grandparents.  My parents came when I was 16. I’m the youngest of 7. My parents came when I was 16 years old in the middle of my junior year of high school and were like, “We’re clean. We want to take you back.” My grandparents were old. They already raised all of their kids, and they raised all of us, so they were like, “Just go.” They were tired. I understood, so I was like, “Okay.” I went with my parents. They moved me about an hour away from all of my friends and all of my family. It was just us.  Probably a year later or 6-8 months later, they started doing their stuff again. I got pregnant. I didn’t have anybody to ask. I wasn’t educated. I didn’t know. I was just like, “I’m pregnant. I’m going to go to the free clinic. I’m going to go to the doctor.” Being a sheep, this is what we do. I go to the doctor and the free clinic. My pregnancy was fine. My son was fine. I’m fine. There were no complications. It was a beautiful, good pregnancy, but towards 38 weeks, on my 38-week appointment, my OB/GYN was like, “Aren’t you so uncomfortable? Wouldn’t you want to have your baby on your due date? Most first-time moms go to 42 weeks.”  In my head, I was uncomfortable. I was super swollen, but I didn’t have preeclampsia. He didn’t even mention preeclampsia or anything, but my ankles and my legs were probably 3-4 times the size of normal. I was very uncomfortable. I had back pains and stuff. He was like, “You want to have your baby on your due date?” I’m like, “Yeah.” He was like, “Okay. Let’s schedule you for you C-section on November 12th.” Meagan: Wait! Marlene: I didn’t even know what a C-section was, and not even an induction. Now that I think about it, no. It was straight to a C-section and I’m over here like, okay. I didn’t even know what a C-section was. I thought this is how the process was. I was just so uneducated. I trusted him. I was like, he was the “expert”. He knows best, so I’m just going to trust him. I showed up at the hospital on the time and date that he said. They prepped me for a C-section. Meagan: Wow.  Marlene: Yeah. Now, in hindsight, now that I know, I’m like, that’s crazy. I could have probably sued him or something, but anyway. 4.5 years later, I’m 23 years old. I get pregnant again, and I didn’t educate myself still. I was young and living the party life. I was not really caring and not educating myself. I did plan this one though. The first one was unplanned. My girl was planned. We planned to have her, but I still didn’t educate myself. I just knew I wanted a VBAC because I wanted to experience birth the way women are naturally supposed to.  I just went. I went to a different OB/GYN in a different city. I came back to Norwolk because I’m an adult, and I have my own place now. I went to my sister’s OB/GYN. She was like, “Oh, he’s good.” I’m like, “Okay.” I just go with him. He was fine. I actually got to go into spontaneous labor this time at least at 39 weeks. My water broke, and straight to the hospital I went.  Meagan: Yeah.  Marlene: I just went straight to the hospital because that’s what I was told to do. I got there, and my pregnancy was fine. There were no complications or anything. I got there, and they were like, “Okay. You’re not even dilated, but we’ll keep you here since your water is broken.” They let me labor. I didn’t feel anything. 12 hours passed, and they were like, “Oh, there’s a risk of infection. We have to get this baby out. There is failure to progress,” blah, blah, blah, and this stuff. I’m like, okay. I trusted them again, so they gave me another C-section. 6 years later, so this is 2019 right before the pandemic, I got pregnant. It was probably actually 2018 because I had my second daughter in August 2019. I got pregnant, and I was like, “This time, I’m a little more educated.” I found the Free Birth Society. I was listening, and decided to do more research. My husband opened my eyes to, “Oh, we shouldn’t be vaccinating our kids.” He had been telling me before, but I was like, no. I was so brainwashed. My family is more medical-minded and stuff. Now, I’m the total opposite. My husband opened my eyes to things.  I started doing more research. I can’t just trust the doctors now and stuff. Now, I’m in Fresno, California when I was pregnant. I searched high and low for a good, VBAC-supportive OB/GYN, and a lot of them told me, “No, we can’t do a VBAC after two C-sections.” This one told me that we could do it. She was truly VBAC supportive. I got to decline all of the things. I didn’t even do the diabetes test. I didn’t really do anything except for a little bit of bloodwork. I declined everything, and she was okay with it. Then she told me, “You don’t have to have a C-section. You could try for a VBAC, but I might not be the doctor who is on call. Who’s to say that the doctor who is on call is going to be VBAC supportive.” She said, “Just to warn you, you might have to stand your ground, and fight for your VBAC and stuff.” I was like, “Thank you for being straightforward with me.”  My water did break. I went into spontaneous labor again. I went to the hospital right after again. I mean, it wasn’t as fast this time. I took a shower. I ate dinner, and maybe an hour or two later, I went to the hospital. I didn’t get a VBAC-supportive doctor. The whole time after I got there, she was like, “Okay, you can try for a VBAC.” She was telling me all of these things that I can’t do. “You haven’t done it before. What makes you think you can do it again?” Just all of this stuff. This time, I did feel contractions. I was in labor longer than 12 hours, but after the 12 hours, she started saying, “Oh, infection.” I had to keep fighting them off, the nurses, and the doctors. I was exhausted from labor. I believe I got to 6 centimeters or so. Those contractions were pretty hard.  She just was like, “Oh, I’m about to switch shifts. Don’t you want me since you’ve alrea

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  6. Episode 361 VBAC Prep with Meagan & Julie + What do the Facts Say?

    2024. 12. 16.

    Episode 361 VBAC Prep with Meagan & Julie + What do the Facts Say?

    In this episode, Meagan and Julie tackle hot topics like the VBAC calculator, epidurals, and uterine rupture. What does the evidence actually say? And why do providers give such drastically different statistics from one practice to the next?  When you know the facts, you are equipped to take charge of your VBAC journey! VBAC Calculator ACOG: Deciding Between a VBAC and a Repeat Cesarean VBAC Calculator Online Library Epidural Side Effects VBA2C PubMed Article Evidence Based BirthⓇ: The Evidence on VBAC Uterine Rupture How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Julie: Welcome, welcome. You are listening to The VBAC Link Podcast, and guess what? We have a special guest for you today, and that is me. It’s Julie Francom. I am here today with Meagan, and I am joining her for a really cool information-packed episode debunking some common misunderstandings about VBAC and showing you what the evidence is and where you can find more evidence-based information about VBAC.  Without further ado, your host, Meagan. How was that? Meagan: Oh my gosh. Thanks Julie for the amazing welcome. Oh, so fun. It’s so fun. Yes. I am so excited for this episode because it’s one of the last episodes with you and I. No, it’s not one of the last episodes. It is the last episode of you and I of the year which is so crazy. It is so crazy.  Julie: This year has flown. Time is wild. Time is wild.  Meagan: It’s so strange to me, but that’s okay. We will welcome in 2025, and we will say goodbye to 2024. We want to say goodbye to it with, like she said just a really great evidence-based packed episode for you guys. I feel like all year we have gotten messages like, “I had a C-section. I’m being told I can’t ever have a vaginal birth. Is this true? Is VBAC safe or possible?” We’ve had, “I’ve had one and two C-sections. I’ve had three C-sections. Is VBAC possible? My provider gave me a 20% chance to VBAC. Is that true? Can I VBAC? Do I really have that low of a chance?” How about this one? This one was more recent that I’ve heard from our last recording. “You have a 60% chance of uterine rupture if you choose to VBAC.” Ugh. Seriously, so many things that we have heard along the way where it’s just– Julie: Lies, lies, lies, lies. It’s lies. Let’s just call it what it is.  Meagan: Aggravating.  Julie: For the most part, I do not think providers mean to spread lies or misinformation. I do think that there is a lot of information related to birth in general, but especially VBAC about how this is the way we’ve always done it. They are just regurgitating information that they have heard from some unreliable source somewhere and aren’t really taking the time to keep up with the actual facts about VBAC, about birth, and about anything in general.  Also, our system is not set up for continuing educating all of the providers in all of the things. Our hospital providers, I feel like in some capacity we have to give them some grace because they are incredibly overworked. They work crazy hours. They see lots of things and deal with a lot. The medical system is that way.  But I also feel like who’s responsibility is it to make sure that you are providing the best care? But how can you when the system is working against not only the parents but also the providers and the nurses and everybody. It’s really hard because it puts the responsibility on you, the parent, in order to really dig and discover what your options are so that you can make the right choices that benefit you because the system is not set up to support you in any other way besides their hospital policies and following their rules, etc.  So, yeah. I don’t want this to turn into a provider-bashing episode. I don’t think it will either. Sometimes, I think with me talking especially with me being more salty now, it can come across that we are anti-provider or whatever which we are not, but the system is just really frustrating.  It takes everybody’s efforts to try and change it, everybody’s efforts. Not one part of the system can be passive if we want to change it and we want to influence it for better. Meagan: I agree so much. Like you said, we don’t want to ever shame the hospital system or providers, but a lot of times, the things we are saying definitely does happen. But it’s because there is a lot of fault. There is a lot of fault in these areas.  Like you were saying, a lot of these things are lies. The biggest and hardest thing that I found when I was going through my VBAC journey. Julie, I wanted to speak for you and probably say that is the same for you, and that’s why we created The VBAC Link: How to Prep VBAC Course is because we didn’t know what was right and what wasn’t. We just didn’t know, and there were so many avenues on Google that you could go down, and you could actually find truth on both sides sometimes even.  Julie: And trying to figure out which is true and credible and which is not sometimes is really tricky. Meagan: It’s really, really tricky. We want to talk more about that today. We recently talked about hospital policies and what that means and how to go about those, but along with hospital policies come a lot of other things that providers do or suggest or say, so we’ve got this random policy that was created over here, then we’ve got all of these random things that are being said over here. We want to know our options.  We know hospital policies are what they are. If you haven’t listened to the episode, go listen. It’s back in November, last month. Go look for it. But today, we are going to be talking about what is the evidence. What are the facts? Let’s talk about the VBAC calculator. Let’s just start right there because this is where a lot of providers actually begin to determine someone’s ability or qualifications if they can VBAC. They’ll pull out this list, this calculator, that is online. You can actually get it online. If you want to play around with it, I’ll try and make sure to put the link in our show notes because I actually find it very interesting to play around with. We used to do that when we would do in-person courses. We would have everyone pull out their phones, type in the calculator, and type in different scenarios. It was pretty mind-blowing to see how much it could change based off of the answer that you give this computer.  You want a VBAC. You have determined that a VBAC is something you want to explore. You want to learn what you can do to have a VBAC. You go to your provider and you go, “Hey, I’ve had a C-section. I don’t want that experience this time. I want a different experience. I would like to have a VBAC,” or what they would call a TOLAC, a trial of labor after a Cesarean. And they’re like, “Great. That’s wonderful.” Then they’re like, “Let’s talk about it.”  They pull up their calculator and they ask you questions like what, Julie? Julie: They ask you questions like, hold on. I was just digging into the history of the VBAC calculator a little bit more because I was curious about it. They ask you what was the reason for your previous Cesarean? How much do you weigh? It used to ask what your ethnicity was then they docked you if you were black or Hispanic.  It also asks, let’s see.  Meagan: It asks if there was an arrest of descent.  Arrest of descent is if you needed a Cesarean because your baby didn’t come down. It asks about your history as in have you had a vaginal birth before? Have you had a VBAC? What was the reason for your previous Cesarean?  It even asks if you’ve been treated for hypertension. Interesting.  Julie: Interesting.  Meagan: Yeah. So height, weight– Julie: Oh, because the chronic hypertension requiring treatment is what replaced the race. When they replaced the race question with do you have chronic hypertension requiring treatment? It may serve as an obvious proxy for race and appears to function similarly in the revised calculator in terms of statistical performance.  Meagan: Oh my gosh. Yeah, it says that right on the website. “The information on this website describes the outcome of vaginal birth after Cesarean in term pregnancy for population individuals who receive care at hospitals within (blah, blah, blah) network.” It says, “The information on this website is not intended to be the only basis for making care decisions for individuals nor is it intended to be definitive,” meaning it’s not going to be yes, you have to have this or this is the exact chance of you having a VBAC, but yet we have so many providers who go off of this as in point-blank fact. Julie: Like it’s the law and like it’s a crystal ball.  Meagan: Really though. It’s so frustrating. Sorry, what were you going to say before? Julie: I just sent you this link from what I was digging into. It’s so interesting about the VBAC calculator. It’s interesting because first of all, a couple things. The likelihood of the VBAC calculator being accurate for you, the higher percentage of having a successful VBAC, the more likely it’s going to be. It’s more accurate when the predicted success rates are above 60%. The lower success rate, the more likelihood it is to be inaccurate.  Do you know what that tells me? That tells me that most people who attempt a VBAC are going to be successful. That’s what that tells me. It’s just so stupid because I mean, the development of the calculator was in the early 2000s. From the outside, it actually looks like a good sample size. There were 11,856 people with one prior Cesarean between 1999 and 2002.  It was analyzed whether they had a successful VBAC or an unplanned repeat Cesarean. It was analyzed retrospectively. Retrospectively means they looked back on births. It doesn’t mean that they did the study when people were pregnant. They looked at it after it

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  7. Episode 360 Meagan Shares More on Uterine Abnormalities

    2024. 12. 11.

    Episode 360 Meagan Shares More on Uterine Abnormalities

    Listen to today’s episode to hear Meagan talk all about bicornuate, unicornuate, arcuate, and septate uteruses, uterine didelphys, and more. Though there can be complications, research is limited, and vaginal birth is often possible. Chat with your provider about your birthing desires, and don’t be afraid to get multiple opinions! A Case of Vaginal Birth after Cesarean Delivery in a Patient with Uterine Didelphys Uterine Differences Successful Vaginal Delivery after External Cephalic Version in a Woman with a Large Partial Uterine Septum Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hello, everybody. Welcome to The VBAC Link. This is Meagan, and I am solo today. We will not be sharing a VBAC or CBAC story, but we’re going to focus on our topic of the week. That is uterine abnormalities.  So if you haven’t listened to Flannery’s episode last week, or I should say earlier this week, go check it out. Flannery has a bicornuate uterus, and we talked a little bit about the different types of uteruses, and her journey, and what happened or what was most common with her bicornuate uterus.  But today, I wanted to talk a little bit more about the different types of uteruses.  It’s kind of weird to think about, but we do. We have multiple shapes of our uteruses. I don’t think it’s really talked about a lot, so I thought it would be cool to jump on today and talk a little bit more about the uteruses.  But, we do have a Review of the Week, so I wanted to jump on and share this review. It says, “I now recommend this podcast to every mom who will listen, even first-time moms. I tell them this is the podcast I wish I would have listened to before our first traumatic birth. It helped me process, learn, and heal so much after my son’s birth. Two years later, pouring into numerous books, online courses, and more, we are preparing for our October VBAC. Their podcast has by far been the most favorite resource hands down. Thanks, Julie and Meagan, so much for what you do.” Thank you guys for your review. That review was left on Google, so if you wouldn’t mind, press pause in just one moment, and go leave us a review. Your reviews help other Women of Strength come and find this podcast, find the blogs, find the course, find the doulas. You guys, I love this community so stinking much and believe that every mom, just like the reviewer said, and even first-time moms should be listening to this podcast. These stories that you guys share are absolutely incredible. The information that we share is invaluable.  If you can, go to Google. Type in, “The VBAC Link” and leave us a review, or leave us a review wherever you are listening to your podcasts.  Okay, everybody. Like I said, we are going to be diving into uterine abnormalities. We talked a little bit about Flannery. She had a bicornuate uterus.  What is a bicornuate uterus? A bicornuate uterus is a heart-shaped uterus meaning the uterus has two horns making it look like the shape of a heart. With bicornuate uteruses, there are some things to know. There can be a higher chance of a breech baby. I’m going to share my source here with you. It’s pregnancybirthbaby.org. We’re going to have this in the show notes. I think that it is just so great. It’s such a great visual and understanding on the different types.  So yeah. They’ve got two horns. It doesn’t reduce your chances of having a baby or getting pregnant. It can increase things like early miscarriage or an early preterm baby, or like I said, it can impact the position of the baby.  But it’s possible. VBAC is possible with that. The hardest thing about uterine abnormalities is there is not a ton of evidence or deep studies to dive into how it’s impacting people who want to go on and have a vaginal birth or go for a, in the medical world, TOLAC or trial of labor after a Cesarean.  If you have a uterine abnormality, it’s something to discuss with your provider. Know you don’t have to go with that first answer. You can get multiple opinions.  Okay, another uterine abnormality or shape is– oh my gosh, you guys. Don’t quote me on this. I will butcher how to say these. I will try my best.  It’s a didelphys uterus. It means that your uterus is split in two, and each side of your uterus has its own area. it also can increase your chance of having a premature birth, so if that is something that you have, I think that’s something you want to discuss with your provider knowing that you could have a premature birth.  We also know people who have premature VBACs all the time, but it’s something to discuss.  There’s acruate, and that is a uterus that actually looks really similar to a normal-sized uterus but has a deeper dip in the top of the uterus in the womb. It doesn’t affect your fertility. It can increase just a little bit of a later miscarriage. That is something to discuss, although sometimes providers will want to induce if everything is looking well at an earlier gestational age. Also, this one can impact the position of your baby, so being aware of that.  Then there’s septate. Again, I don’t know. Sorry for butchering this, you guys. If you’re a medical professional, sorry. It says, “A septate womb has the wall of a muscle that comes down the center of the uterus, and then it splits into those two areas and is divided by a membrane or a tight band of tissue.” It reminds me of a rubber band. It splits it down.  It can also impact fertility and, again, increase the possible risk of miscarriage in the early stages or cause a premature baby. Once again, discuss with your provider if you have this what that means and what that means for VBAC birth in general.  Then, let’s see. There’s also retroverted. That’s a uterus that tips further back instead of that forward stage. Again, there are so many different types and shapes of uteruses. Sometimes we don’t know what we have until we have a baby who is born. Sometimes it’s once we have a Cesarean where they are like, “Oh, hey. You have this type of shaped uterus.” If you really feel like you need to know or you are having issues or anything like that, dive in with your provider and see if they can tell you what shape of uterus you have. Like I said, little is known about the outcome of VBAC with uterine abnormalities, but there is an article and it was back in 2019. It’s called “A Case of Vaginal Birth After Cesarean Patient Who Has a Uterine Didelphys”. I want to talk a little bit more about that. As a reminder, that is the one that is split in two.  If I recall, I think they even have their own cervixes. That can be interesting. But this is going to be a little bit more on this. They talk about it. There are only a few studies. The studies are low, like 165 women in the one study. It shows that those women with abnormalities found were statistically less likely to have VBAC.  Again, we know that a lot of the time, these people have babies who are in less ideal positions or they are going into early preterm labor. There are things to be said about that. But the other small study is literally teeny tiny. It had 25 women with uterine abnormalities reported, and a VBAC rate was similar to women with a “normal” uterus.  There are things to say there. Now, the other study showed that they were less likely to experience uterine rupture than women with normal uteruses, but then this one said that the uterine rupture rate was higher. So such little information. I mean, really, it’s little information that I have been able to find so far. I’m going to dive in deeper and update you, but yeah. It says, “The actual rates in VBAC and uterine rupture in women with uterine abnormalities are more likely to be similar or less favorable than those women with normal uteruses.”  So, keep that in mind. It goes on and says, “Some authors hypothesized that uterine abnormalities, especially unicornuate uteruses, are associated with decreased uterine muscle mass. So when we have decreased uterine muscle mass, that means it may not contract as effectively or strongly as it needs to, so that can lead to other things like arrest of descent or we were not getting into that active phase of labor, needing things like Pitocin and things to augment labor or they may have a harder time pushing out the baby because the uterus isn’t helping as well.  So we may have a higher chance of an assisted delivery like a vacuum or forceps. With all of this said, you guys, I want to leave it here with you to encourage you to speak with your provider, and get multiple opinions.  If you have been told that you can’t VBAC because of a certain situation, dive a little deeper with questions with your provider because again, the hardcore evidence is not really there. It’s just low. I mean, it’s there, but it’s low. There’s another article that says that uterine abnormalities are common in the general population with an estimated range of 1-15 per 1000% women.  We know that there are people out there who have uterine abnormalities. I don’t feel like it’s talked about a ton, and that’s why I wanted to come on today and talk a little about the different types, and of course, share with Flannery’s episode with a bicornuate uterus showing that she still did go on to have a VBAC and it is possible.  So if you have a uterine abnormality, please know that it doesn’t mean you’re just completely off the table. It still can be an option. Discuss it with your provider. Check out the links. I will include them in the show notes today more on those uterine abnormalities, and what it means, and what these studies are showing.  There was another one that said that a septate uterus is clinically significant because it has been shown to be associated with adverse pregnancy outcomes including, like I said, that

    16분
  8. Episode 359 Flannery's VBAC with a Bicornuate Uterus + Types of Uterine Abnormalities

    2024. 12. 09.

    Episode 359 Flannery's VBAC with a Bicornuate Uterus + Types of Uterine Abnormalities

    Flannery joins us today from Connecticut sharing her story of an unexpected C-section at 35 weeks due to oligohydramnios, breech presentation, and concerns with her baby’s kidney functions. She was also transferred to an unfamiliar hospital for its surgical capabilities. Though she was terrified, her anesthesiologist was calm and reassuring.  The toughest memory of Flannery’s birth was not being able to kiss her baby before he was swept away to the NICU. She was determined to do everything in her power not to have that happen again the second time.  Knowing she had a bicornuate uterus, she worked hard to keep her baby’s head down from the very beginning of her second pregnancy. She switched to a midwife practice, carried her baby past her due date, went into spontaneous labor, and had an intensely beautiful unmedicated hospital VBAC! NICU Free Parking Types of Uterine Shapes AFI Article Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details  Meagan: Hello, everybody. We have our friend from Connecticut. And you know what? I didn’t ask. How do you say your name?  Flannery: It’s Flannery.  Meagan: That’s how I was going to say it.  Flannery: Yes, good job.  Meagan: We have our friend, Flannery, here from Connecticut and she has a bicornuate uterus. This week’s focus is on different shaped uteruses or uterine abnormalities as I’m air quoting. We know that people have them. People have different-shaped uteruses.  Sometimes that can impact things like breech babies or even a provider’s ability to support– I don’t want to say ability. It’s their willingness to support, especially in VBAC. We’re going to be diving into that. She’s also a NICU mama so for other NICU mamas, she might have some tips for you along the way.  She just told me before this that she was a labor and delivery nurse before she had her first.  Flannery: Yep, and then I switched over.  Meagan: Now she switched over to postpartum. She knows the field, so we might talk a little bit about labor and delivery nursing and the postpartum world.  Flannery: Yeah, definitely.  Meagan: Awesome.  Okay, well let’s get into your stories.  Flannery: Okay, thank you. I’m so excited. I would listen to this podcast all the time when I was pregnant. At the end, when they say, “If you’d like to share your VBAC story–” and I would say, “I will be sharing my VBAC stories someday.”  Meagan: I love that. “I will be sharing my story”, and here you are sharing with all of the other Women of Strength coming to learn and grow and feel empowered.  Flannery: Yeah, I loved it.  My first pregnancy was actually an unplanned pregnancy. I had just gotten married. I just started a labor and delivery nurse job. I was noticing that I wasn’t feeling great, that I had some bleeding which I thought was my period, so I just was like, “You know what? Let me take a pregnancy test just to reassure myself because there is no way that it will be positive.”  It was, and I was so shocked. I remember taking the tests, seeing the two lines, and my heart dropping. I thought to myself, “I am not ready to be a mom. I can’t believe that I am having an unplanned pregnancy. This is so crazy.”  I was only 25 which I know is not that young, but up here in Connecticut, it’s pretty young.  Meagan: Is it really? What’s the average for first-time moms? Can I ask? Flannery: I’m guessing 30-32.  Meagan: Okay.  Flannery: None of my friends had babies yet or anything, so I felt very alone and obviously very shocked. Yeah. I had no idea how far along I was. I went to the dating ultrasound with my husband at the hospital where I worked, and they put the wand on my belly. There was a full baby in there.  It wasn’t a bean. It wasn’t a little heartbeat, but it was a baby. They said, “You’re 11.5 weeks along.”  Meagan: Oh my gosh. Really? Flannery: Yeah. I was beyond shocked. Meagan, I had no idea that I was pregnant. I didn’t have any symptoms. I was having some bleeding, so I thought that had been my period, but nope.  Meagan: Oh my goodness. Was it implantation bleeding? But then that would be too late.  Flannery: I don’t know. I think maybe just how some people get first-trimester spotting or bleeding after sex or exercise or something. I’m thinking that’s what it was.  Meagan: Crazy.  Flannery: I know. I had skipped the first trimester, and that terrified me because I wasn’t on a prenatal. I was having some wine. I was just like, “How could I have missed this? This is embarrassing. I’m a nurse.”  Meagan: “I’m a nurse.” Hey, listen. It happens. People talk about it. I’m sure that was such a shock not only to see those two pink lines and that you were not having babies with any of your friends, but then you skipped the whole first trimester.  Flannery: Crazy. It was crazy. It took a while to wrap our heads around it. Then during the ultrasound, hearing the ultrasound tech saying, “Have you ever had an ultrasound of your uterus before?” I was like, “No,” not thinking anything of it, just focusing on the baby, and then I got a call from my doctor a few days later, and she was like, “So, it looks like you have a bicornuate uterus. Have you ever heard of that?” I was like, “No. I’ve never heard of that before.”  She said, “Basically, your uterus is shaped like a heart, and it should be shaped like a balloon.” I was like, “Okay. That doesn’t sound too bad.” We hung up. I went on Google and Googled “bicornuate uterus”, and let’s just say the stuff that comes up is not reassuring at all. It’s so scary.  It says things like, “Risk of preterm delivery. Risk of stillbirth. Risk of infertility. Risk of malpresentation.” It just went on and on. Postpartum hemorrhage, and all of this stuff, so I really broke down. I remember just crying and crying to my husband, “I’ve had this crazy birth defect my whole life, and I’ve never known it.” I didn’t know how it was going to impact my birth or anything. That was definitely scary. Meagan: Did they tell you anything about how it could impact your pregnancy or your birth?  Flannery: Not really. This was a general GP doctor that I was seeing, so she didn’t really go into it with me, but I definitely spoke about it to the midwives that I was seeing once I established care with them. They were just like, “Yeah, it can cause baby to be breech.” That was all they told me about it.  Meagan: Okay.  Flannery: Yeah. I was doing a lot of research looking for podcasts and everything about bicornuate uterus and all of the things that go along with it, but I couldn’t really find much. This was a few years ago, so maybe three or four podcast episodes about bicornuate uterus, breech, and malformation. I think now there are more, but at the time, it was really hard to find information.  Meagan: Yeah. I still feel like it’s 2024. What year are we in? We are almost in 2025. We are in 2024, and it still is. There is still not a ton. It’s not a beefy topic.  Flannery: No, it’s really not. I think that some people don’t know they have it until they get pregnant which was in my case, and they have an ultrasound. It’s hard to tell later on in pregnancy if you have it because your baby will stretch out the uterine space, so you can really only tell in the first trimester if you have an ultrasound.  Meagan: Interesting. Good to know.  Flannery: So my pregnancy progressed pretty normally after that. I was very stressed at this new job in labor and delivery that I was working in. I was seeing really scary births all of the time, traumatic births, and some good ones too, but it put this idea in my head that you cannot plan your birth. Things are so out of your control that there’s no reason to have a plan because you’re just going to be disappointed anyway. All you can do is go with the flow. That was my attitude at the time. It’s definitely changed since then.  It was definitely interesting trying to be a first-time mom and also learn how to be a labor and delivery nurse and reconcile the two experiences that I was seeing.  Meagan: I bet.  Flannery: Yeah.  Meagan: I bet that would be really challenging.  Flannery: It was. It was interesting. I established care with some midwives who I worked with. They were highly recommended, but I didn’t really feel like they were giving me the midwife experience that I had heard so many people rave about. I felt like they really treated me like a coworker instead of a first-time mom when I was going to their appointments.  I was fine with their care. I wouldn’t say it was the best or the worst by any means. Then I realized around 25-26 weeks, “Gosh. I’m really feeling this rock under my ribs all the time. I think that’s the baby’s head. I think the baby is breech.”  Then at 28 weeks, I had a growth scan because you have to have growth scans if you have a bicornuate uterus, and they were like, “Yeah, sure enough, the baby is breech.” The midwives told me, “Okay, you can do some Spinning Babies and put an ice pack near the baby’s head and play music down low,” and all of those crazy things that you hear. I was like, “Yeah, sure. Okay, I’ll try it.”  I did a few inversions, but they gave me terrible heartburn, so I was not super consistent with that. The baby just wasn’t budging week after week. Eventually, it came to about 35 weeks, and I was getting another growth scan. I had just worked a very tiring shift at work. I went to get my ultrasound. I was dozing off as she did it.  She stopped the ultrasound, and she said, “I’m going to send you over to your midwife’s office. Go over right now.” I walked over, and the midwife was like, “Girl, what’s going on?” I was like, “I don’t know. I just had this pit in my

    53분
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Join us as we share VBAC birth stories to educate and inspire! We are a team of expert doulas trained in supporting VBAC, have had VBAC's of our own, and work extensively with VBAC women and their providers. We are here to provide detailed VBAC and Cesarean prevention stories and facts in a simple, consolidated format. When we were moms preparing to VBAC, it was stories and information like we will be sharing in this podcast that helped fine tune our intuition and build confidence in our birth preparation. We hope this does the same for you! The purpose of this podcast is to educate and inform- it is not to replace advice from any qualified medical professional.

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