The VBAC Link

“Control what you can control.” Brooke’s birth experiences have not been without challenges. She first had an extremely difficult miscarriage during COVID followed by intense bleeding due to massive subchorionic hemorrhages during her other two pregnancies. Her first delivery was a very traumatic C-section from not being completely anesthetized. After that, Brooke committed to doing everything in her power not to have that experience ever again and to do everything she could to avoid a C-section. Along with another subchorionic hemorrhage, her third pregnancy presented another challenge when she found out her baby had a bowel obstruction and would need surgery along with a NICU stay immediately after birth. Brooke was disheartened learning that she needed a medically necessary induction, but she was still committed to doing everything she could to achieve her VBAC. Her efforts to surround herself with a powerful team paid off. Everyone around her championed her VBAC. Brooke was able to go from the most traumatic birth imaginable to the most beautiful, empowering, and healing birth she literally dreamed about. Brooke’s Website Informed Pregnancy - code: vbaclink424 Needed Website - code: vbac20 How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 04:36 Review of the Week 07:19 Brooke’s first pregnancy 11:18 Miscarriage 15:01 Brooke’s dream 17:20 Second pregnancy 21:26 Going into labor and getting admitted 28:06 An extremely traumatic C-section 32:53 Third pregnancy 38:17 Bleeding again 43:09 Finding a bowel obstruction in baby 46:57 Switching providers the day before her scheduled induction 50:57 Progressing to complete dilation 54:54 Getting an epidural and pushing for three hours 59:40 15 tips for birth 1:04:22 Control what you can control Meagan: Good morning, good afternoon, good evening– whatever time it is that you are listening to this episode, I hope that you are doing great. We are excited to get into another VBAC story today from our friend. Okay, so I’m trying to think. Remind me. Are you in North Carolina now or are you in New York City now? Brooke: No, I’m in North Carolina now, but the story starts in New York City. Meagan: The story starts in New York City. She’s in North Carolina now. Her name is Brooke. Tell me a little bit more. You are an educator. You are helping kids read, right? Is this what I’m getting from your website? Brooke: Yes. Meagan: Okay, so tell us more about what you do. Brooke: I worked in New York City public schools for 10 years. I was a teacher, a literacy coach, and an administrator so I have experience both in the classroom and in school leadership. After we welcomed my daughter and after the pandemic, we moved to be closer to family in the Raleigh, North Carolina area and here I’m an education consultant. Meagan: Education consultant. Awesome. We will make sure to have your website linked for anyone listening. What type of people would want to go to your website? Brooke: I offer a number of services. The first thing that I do is pretty classic consulting in elementary school. I provide literacy support. My expertise is in pre-K through 3rd grade so early reading foundational skills. I help schools with their reading programs. But additionally, there’s a big home school community in the Raleigh area. Meagan: I saw that on your website. Brooke: Yeah, I’ve had a really wonderful experience so far working with families getting set up on their homeschooling journey and supporting parents and caregivers in taking on the teacher role at home. Meagan: Awesome. Awesome. I think home school, especially since COVID has really taken off. I know a lot of people, some of my best friends in fact here in Utah even homeschool. It’s a great resource. In addition to all of the amazing, great things you do, you have a VBAC story to share with us after a Cesarean that was performed pretty early, right? Brooke: Yeah, it was a pretty...

Today’s episode has a wealth of information you won’t want to miss! Dr. Kendra Ohora is a Licensed Clinical Marriage & Family Therapist and also a VBAC mom. From being told she would never have children to currently expecting her third baby boy, Kendra shares how prioritizing her mental health helped her through some really tough years. Kendra’s first birth was a planned breech home birth with an empowering labor. But when baby was not descending after hours of pushing, she felt at peace transferring to the hospital. Unfortunately, Kendra’s hospital experience was traumatic and resulted in a C-section under anesthesia. Through processing and healing, Kendra was able to prepare for and achieve the home birth she hoped for the first time with her second baby who was born only 14 months after her first. Tia, a VBAC doula from the Chicago area, joins Meagan as her cohost today and finishes the episode with the top three pieces of advice that she gives to all of her clients. Kendra's Website Tia's Website Informed Pregnancy - code: vbaclink424 Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 03:24 Review of the Week 06:07 Kendra’s professional background 09:00 Kendra’s surprise pregnancy 10:54 First birth 13:14 Surrendering 16:15 Surprise baby number two 21:00 Kendra’s VBAC 29:30 Processing births 33:31 Erin’s e-courses 36:16 Benefits of therapy 41:39 Short interval between pregnancies 45:51 Tia’s top three tips 48:54 Hire a great support team 51:38 Prepare your mind Meagan: Hello, hello. We have another amazing episode for you guys today and guess what? We did this a couple of weeks ago and I thought it would be fun to do it again. We have a co-host with us today. It’s not Julie, but it is Tia. Hello, Tia. Tia: Hi. Thank you so much for having me. Meagan: Absolutely. Tia is amazing and she is actually one of our VBAC certified doulas. I want to turn the time a little bit over to you and tell us where can people find you. What is your business name? All of that. Tia: Yeah. I am in the Chicagoland area so I serve a wide radius about an hour from my hometown of Mount Prospect. My business is Chicagoland Birth and Baby. Most people can find me on my website. It is Chicagolandbirthandbaby.com or they can email me at chibirthandbaby@gmail.com. Yeah. I would love for people to reach out to me if they are in my area. Meagan: Awesome. We will make sure to have her link and everything also in the show notes. You can easily find her. If you’re in her area looking for a doula, definitely give her a call. Okay, you guys. We have a guest today. I mean, you are all special. Every guest is so special, but Dr. Kendra Ohora is with us today. She is a VBAC mom and then she also offers something very special that I think connects or can connect a lot with our audience because we go through a lot of stuff as VBAC moms and C-section moms and all of this. She actually owns a wellness company and she is a mental health and wellness practice in Hartford County. Kendra: Mhmm. Meagan: Awesome, okay, in Maryland. She specializes in couples therapy and perinatal mental health. In her brief years as a mom, she has learned to love and appreciate slowing down which I know we all need to do in life, all things neutral, and lots of time outdoors. Her VBAC journey is one of her most proud moments as a woman and a mom. I am excited for her to come to talk about her VBAC story but then also a little bit more of what she offers because I do. Like I said, I think it applies very well to our community. 03:24 Review of the Week Meagan: But of course, we have a Review of the Week so I’m going to turn the time back over to Tia really quickly and then we’ll dive right in. Tia: Yeah. I have a review from dmiller21395 from September 18, 2023. The subject is, “Empowering and Motivating.” This is from Apple Podcasts. It says, “I just had my successful VBA2C and would love to thank The VBAC...

Meagan has a new co-host today! Rebecca, a pelvic floor physical therapist and a VBAC Link doula located in Georgia joins Meagan while our friend Hannah from North Carolina shares her birth stories. This episode stresses again the true importance of not just a supportive provider, but of a supportive practice including hospital policies, the team of rotating providers, and the nurses. Hannah shows how her borderline preeclamptic symptoms were treated very differently between her first and second births. Her first practice had many red flags she didn’t notice until her second practice showed green flag after green flag throughout her entire journey. Rebecca also shares her expertise surrounding pelvic floor PT– who needs it and how it can impact birth outcomes. She also debunks myths about small pelvises and talks in depth about scar tissue. Both women share such valuable tips that we know you will love! Real Food for Pregnancy by Lily Nichols Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 03:11 Review of the Week 05:13 Hannah’s stories 08:17 Higher blood pressure readings and induction 10:26 Induction due to high blood pressure readings 11:52 Interventions and not being able to move during labor 16:50 Hannah’s C-section 19:36 Rebecca’s thoughts about pelvic bone structure 22:42 Second pregnancy 29:01 A medically necessary induction 33:27 Ending the first full day of induction 38:03 Pushing for 20 minutes 39:59 Hannah’s advice to listeners - provider support and nutrition 44:17 Small pelvises and scar tissue 50:13 Other scar tissue that can affect positioning Meagan: Hey, hey Women of Strength. It is Meagan and guess what? We have a cohost today, a new cohost who has never been with us and we are so excited that she is joining us. We have Rebecca Goldberg on our podcast today. Hello, Rebecca. Rebecca: Hello. Meagan: Thank you for taking the time and being with us. Rebecca: Yeah. I really love the resources and the community and I’m just thrilled to be here. Meagan: Well, we are excited and for anyone wondering who Rebecca is, she is an amazing human being. She actually does a lot in pelvic PT and is one of our VBAC-certified doulas. She’s in Georgia. Rebecca: Yep. I’m in Atlanta, the Decatur area. Meagan: Decatur area. Is that where you serve mainly? Rebecca: Yeah. I have people who come to me from all over. Some people are traveling up to an hour or an hour and a half, but I actually can go to people’s homes who are directly in my area. So, people who are post-C-section, I can come to you as early as the day you are discharged. I can work with you deal with pain, make sure you know what needs to happen, and help you do all of the things. That’s where my passion really lies. Meagan: I love that. I love that and for VBAC, how early for pelvic floor and stuff? How early can you start working with them? Rebecca: As soon as they have gotten home. If they are planning on getting pregnant again, we can start building that into what our plans are so that we are starting that process earlier rather than later and you’re more likely to have results that when you are ready to get pregnant, you can just get pregnant. Meagan: Love it. Awesome. Well, thank you, thank you for being here. 03:11 Review of the Week Meagan: You guys, as usual, we have a Review of the Week. You don’t have to listen to me stumble upon the review. Rebecca will read it. I’m sure she will do a lot better than I normally do. Rebecca: Well, this review is from Apple Podcasts and it’s from semicrunchyyogi. I love that name. The review says, “My personal VBAC journey was actually directly influenced by Meagan Heaton, one of the hosts on this podcast. She was my doula with my second baby, my 10-pound VBAC baby.” Whoa. Meagan: Woo, yeah. Rebecca: “When she started this podcast, I knew it would be something special. I will always be passionate about VBAC and making sure women are...

It can be difficult to find VBAC support with gestational diabetes and most who are supportive of VBAC highly recommend a 39-week induction. Heidi’s first pregnancy/birth included gestational diabetes with daily insulin injections, a 39-week induction, Penicillin during labor for GBS, pushing for five hours, and a C-section for arrest of descent due to OP presentation. Heidi wasn’t sure if she wanted to go through another birth after her first traumatic experience, but she found a very supportive practice that made her feel safe to go for it again. Though many practices would have risked her out of going for a VBAC due to her age and subsequent gestational diabetes diagnosis, her new practice was so reassuring, calm, and supportive of how Heidi wanted to birth. Heidi knew she wanted to go into spontaneous labor and try for an unmedicated VBAC. With the safety and support of her team, she was able to do just that. At just over 40 weeks, Heidi went into labor spontaneously and labored beautifully. Instead of pushing for over five hours, Heidi only pushed for 30 minutes! It was exactly the dreamy birth she hoped it would be. Thrombocytopenia Real Food for Gestational Diabetes by Lily Nichols Informed Pregnancy Plus Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 05:50 Review of the Week 08:04 Heidi’s first pregnancy with gestational diabetes 12:05 Taking insulin 18:08 39-week induction 20:59 Pushing 24:29 Arrest of descent and opting for a C-section 27:06 Researching providers before second pregnancy 38:04 Discussions around induction 41:45 NSTs twice a week 47:10 Testing for preeclampsia 54:53 Spontaneous labor 57:43 Going to the hospital 1:02:03 Laboring in the tub 1:06:22 Pushing for 30 minutes Meagan: Hello, Women of Strength. It is Meagan and we have a friend from New Hampshire. Her name is Heidi. Hello, how are you? Heidi: I’m doing great. How are you? Meagan: I am so great. I’m excited to record this story today because there are so many times in The VBAC Link Community on Facebook where we see people commenting about gestational diabetes and for a really long time on the podcast, we didn’t have any stories about gestational diabetes. Just recently, this year really, we’ve had some gestational diabetes stories. I just love it because I think a lot of the time in the system, there is doubt placed with the ability to give birth with gestational diabetes or there is the whole will induce or won’t induce type thing, and with gestational diabetes, you have to have a baby by 39 weeks if they won’t induce you and it just goes. So I love hearing these stories and Heidi’s story today– she actually had gestational diabetes with both so with her C-section and with her VBAC. It was controlled. It was amazing. That’s another thing that I love hearing is that it is possible to control. We love Lily Nichols and the book about gestational diabetes and pregnancy. We will make sure to have it in the link, but it is so good to know that it doesn’t have to be a big, overwhelming thing. It can be controlled and it doesn’t have to be too crazy. Right? Did you find that along the way? Heidi: Yes. Yes, definitely. The first one was pretty scary, but then the second one, you know what you are doing and you can control it and you can keep advocating for yourself. Meagan: Absolutely. And then in addition to gestational diabetes, she had advanced maternal age barely with her second, but that is something that also gets thrown out. A lot of the time, we have providers saying, “We shouldn’t have a vaginal birth. We should have a C-section by this time,” so that’s another thing. If you are an advanced-maternal-age mama, listen up because here is another story for you as well. We don’t have a lot of those on the podcast. We are so excited to welcome Heidi to the show. 05:50 Review of the Week Meagan: Of course, we are going to do a Review of the Week and then we will...

Today we welcome Jayne Havens, the founder of the Snooze Fest sleep training course and The Center for Pediatric Sleep Management™ sleep consultant certification program. Just like how Meagan’s birth experiences led her to become a doula and VBAC advocate, Jayne talks about how the knowledge she gained by teaching healthy sleep habits to her own children helped her create a passionate career. Jayne answers Meagan’s questions about sleep consulting in general, how to help children feel safe in their bedrooms, ways to effectively communicate, developmental milestones in both babies and children that can affect sleep, how to become a sleep consultant, where to find them, and even earning potential from a career as a sleep consultant! Jayne's Course - Use code VBACLINK for a discount! Becoming a Sleep Consultant Facebook Group Becoming a Sleep Consultant Podcast Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:24 Review of the Week 05:35 Jayne’s journey to sleep consulting 13:35 How can a sleep consultant help? 19:43 What to do when a child feels unsafe in their room 21:08 The life of a sleep consultant 25:17 Sleep consultant qualifications 30:36 Ages covered in Jayne’s course 36:00 How to find a sleep consultant 40:59 Cost to hire a sleep consultant and potential earnings as a sleep consultant 46:57 Where to find “Becoming a Sleep Consultant” Meagan: Hello, Women of Strength. It is Meagan and we have my friend, Jayne Havens on the podcast today. Hello, Jayne. Jayne: Thank you so much for having me. I’m so excited to be here. Meagan: Thank you. Me too. We actually just met this year, 2024 in January and we met at a business doula retreat. Jayne is actually not a doula. She is a mom and a successful business owner. When we connected, I just felt so much that our stories related in different ways but very much in the same ways and I was like, “I want you on the podcast.” So today, we’re not sharing a VBAC birth story, but we’re sharing a business birth story and some tips on sleep and how to help your babies sleep because we know as mamas with newborn babies, we don’t get a lot of that sometimes and it doesn’t have to be that way. I’m so excited to have Jayne Havens who is a certified sleep consultant and runs her own sleep consulting practice, Snooze Fest by Jayne Havens and you also have a podcast. Jayne: I do. It’s called Becoming a Sleep Consultant. Meagan: Becoming a Sleep Consultant. As a new parent overwhelmed by exhaustion like I just said we all have with a newborn, Jayne found herself reading everything she could find in order to get her own son to sleep through the night. Now, if you are driving, don’t raise your hand because keep your hands on the wheel, but you can nod if you understand that sentence right there. I definitely was that with my son and my daughter and my first. I’ve had three and we have to figure it out and every baby is different. So friends, quickly after she mastered this, started asking her, “Help, please!” She started doing that and helping all of these moms and babies sleep better, feel better, and just live better. Jayne’s children were both fabulous sleepers and they began coming to her for that help because they saw it. We are so excited to have Jayne today. 02:24 Review of the Week Meagan: I do think that a Review of the Week is needed so I”m going to hurry and share a Review of the Week and then we will dive right into this amazing episode. Okay, so this review is from sarahgb and it says, “Full of knowledge, fun, and strength-filled stories.” It says, “First off, I would like to say that I am 16 years old and a doula in training and lover of anything pregnancy, birth, and baby related. This podcast is literally exactly what I have been looking for and wanting. I have been listening for a long time and cannot stop. I think I’ve listened to four or five episodes in one day.” Wow, that’s definitely some...

“If you don’t know your options, you don’t have any!” April is Cesarean Awareness Month and we hope this month is one of information, empowerment, and love from us here at The VBAC Link to you. Referring to the amazing resources provided by the International Cesarean Awareness Network (ICAN), Meagan and Julie break down the mission of Cesarean Awareness Month. Whether you are a first-time mom, VBAC mom, CBAC, or RCS mom, there is space for all of you! This month is meant to not only reduce Cesarean rates overall. It is also meant to inform everyone about birthing options, hospital rights, and ways to make Cesarean births better. We need all of our experiences to make positive changes in the birthing world for future generations! ICAN's Website Cesarean Awareness Month Toolkit Infant Mortality Statistics from 2022 Informed Pregnancy Plus Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 07:03 Review of the Week 09:29 Why we need Cesarean Awareness Month 13:12 ICAN’s Cesarean Awareness Month toolkit 16:00 Ways to make Cesarean births better 21:20 Common reasons for Cesareans 25:59 Your hospital rights 32:10 The safety of home birth 36:52 Lower Cesarean rates = lower infant/maternal mortality rates 40:38 A message to the CBAC community Meagan: Hello, hello everybody. It is Meagan and I have Julie with us today. I always get so happy. Julie: Hello, hello. Meagan: We are going to be talking about International Cesarean Awareness Month. Now, this is sensitive. It’s sensitive. It can be sensitive. It’s a month, a whole 30 days or 29 days. I don’t actually know how long April is. Julie: April is not 29 days you crazy. That’s just February once every four years. Meagan: That’s just February. Maybe 30, maybe 31. I don’t know. Julie: April is 30 days always every year. Meagan: Is it? I don’t know my months apparently. Julie: Apparently. Meagan: It can be a long month for people and we’re going to talk a little bit more about that. But it stands for International Cesarean Awareness Month and it is a month that is truly just brought to create awareness around unnecessary Cesareans, around advocating for vaginal births after Cesarean, improving Cesarean recovery after, and really just spreading the word and getting the information out there because as someone who has been in the VBAC world before, we have been told many times that VBAC isn’t possible and Cesarean is a must. You know, Cesarean isn’t desired by everyone, and a VBAC isn’t desired by everybody, but it’s important to know the options. One of the coolest things is that ICAN which is a nonprofit organization created this mission and I’m just going to read it. Does that sound appropriate? “ICAN is a nonprofit organization whose mission is to improve maternal/child health by reducing preventable Cesareans through education, supporting Cesarean recovery, and advocating for vaginal birth after Cesarean for VBAC.” We are really grateful for ICAN. They do a lot of amazing things and I know that they were a big part of my journey. I mean, wouldn’t you say yours too, Julie? I think that’s actually where we might have met is an ICAN chapter meeting maybe. Julie: Where did we meet? Now I’m going to think. Meagan: I feel like I can picture you in a living room in a chair up front. You were very involved with the presenter and I was just there. Julie: Wasn’t it at your house? Meagan: No. Julie: Okay. Yeah, I remember that one. Meagan: It was at someone else’s house and anyway, that’s the first day I remember seeing your beautiful face. Crazy, but we love ICAN and we support them. Julie was just looking and they had a t-shirt. One of the things it says is, “You have options.” That is going to be one of the things that we are talking about today. Julie: Yeah. That was last year’s theme but they haven’t posted this year’s theme yet. I mean, we’re recording this in February so they haven’t gotten a lot of...

Hayley joins the show today sharing her breech Cesarean and unmedicated hospital VBAC stories. Meagan and Hayley dive deep into the pros and cons of getting an epidural and why providers tell women so many different things when it comes to epidurals and VBAC! While Hayley had the dreamiest birth she could have imagined and everything went according to plan, her postpartum experience with prolapse was not something she was prepared for. Hayley shares her symptoms, what she wished she knew, and what she has done since to recover and feel like herself again. Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:47 Just-in-case epidural 04:16 Dr. McGuire’s insight on epidurals 08:42 Using an epidural as a tool 10:44 Hayley’s first pregnancy and birth 12:00 Doing VBAC research before pregnancy 13:51 Hayley’s second pregnancy 18:15 Labor begins 20:16 Going to the hospital 24:20 Pushing 27:05 Hayley’s prolapse experience 32:01 Symptoms of uterine prolapse 35:29 Prolapse can happen Meagan: Hello, hello Women of Strength. You guys, I am excited about today’s episode. I love talking about VBAC obviously, but specifically, we are going to talk a little bit about unmedicated versus medicated. Our friend, Hayley, from North Carolina has had a beautiful unmedicated hospital VBAC so I want to also talk about the opposite side of that and talk about medicated VBAC. We have so many people in our community that I see type, “I want a VBAC, but I don’t want to go unmedicated and my doctor says I have to. I can’t have an epidural” or the total flipside of that where, “I really want an unmedicated VBAC, but my doctor says I can’t go unmedicated. I have to have the epidural.” Did I just say that correctly, Hayley? Hayley: Yes, yeah. Meagan: It’s either one or the other. We’ve got providers telling people they can’t have an epidural or they have to have an epidural. So I wanted to just talk a little bit today before we get going on those two topics. First of all, let’s talk about unmedicated birth. Hayley and I are living proof today. We are on this episode that unmedicated VBAC is 100% possible, achievable, and safe. A lot of those providers come out and say that they can’t go unmedicated because they say it’s not safe. In the rare chance, we know that uterine rupture happens but it is rare. In the rare chance of a uterine rupture, that is where they say that is not okay. Or they will say things like, “But you wouldn’t want to be knocked out for your birth,” which is scary. I don’t want to be knocked out for my birth and I know people have. A lot of the time, it is not the most pleasant experience. Yeah. Okay, so let’s talk about that. Unmedicated vaginal birth is unmedicated vaginal birth. That’s what it is. I’m just laying it out there. Yes, we have a slight increase in uterine rupture. Yes. What happens if we have a uterine rupture and we are unmediated? A lot of the time, we are noticing that there are signs of uterine rupture. When we get an epidural and a spinal, we go back and have a C-section. Simple as that. Or if it is a true medical emergency, yes, there is that small risk of needing to be put under. Small risk and small risk equal risk of course, but it’s low. 02:47 Just-in-case epidural Meagan: What about if we have the just-in-case epidural? I seriously sometimes just want to sock someone who says “Just in case”. We don’t need to be placing an epidural just to have it ready to dose because guess what? In the event that it is a true emergency and we really do need to go in for an immediate Cesarean, it’s the same thing. We get knocked out. I know that these words are kind of big and harsh words. We get knocked out, but we get put under general anesthesia if we don’t have anything in our system. Now, let’s talk about an epidural. You actually have an epidural placed. It’s running. It’s dosed and we have a uterine rupture. Guess what? Women of Strength, more...

Though Karen did research and took birthing classes before her first baby, she didn’t realize how much advocating for herself could change the course of her birth. She wanted to be the “good” patient and told herself she could do without the things her body told her she needed during labor. Karen ended up pushing for over four hours and consenting to what she was told was an emergency C-section, even though the actual surgery didn’t happen until hours later. Karen had some serious postpartum symptoms of swelling and difficulty breathing that were dismissed and even laughed at until things came to a point where she knew something was very wrong. She was diagnosed with postpartum cardiomyopathy, admitted to the ICU, and transferred to cardiac care. Doctors told Karen very different things about her condition. She went from being told not to have any more children to hearing that VBAC was absolutely safe. Karen discusses how her gestational hypertension came into play with the different advice as well. Karen found her voice. She advocated for herself. She knew what her body was saying and what it was capable of. Her labor was so smooth and she WAS able to birth vaginally! Informed Pregnancy Plus Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 3:46 Review of the Week 06:27 Karen’s stories 08:50 First labor 10:47 Pushing for four hours 15:11 Karen’s C-section 17:43 Postpartum swelling and difficulty breathing 21:03 Fluid in her lungs 23:52 Moving to Florida and getting answers 25:13 Getting pregnant again 29:53 Advocating for a VBAC 32:14 A spiritual dream 34:34 Gestational hypertension 39:36 Signing an AMA 41:31 Going to the hospital 45:20 Pushing for 20 minutes 47:30 White coat syndrome 51:59 Symptoms of hypertension and preeclampsia 54:52 Tips for hypertension and preeclampsia 56:55 Karen’s final tips Meagan: Hello, hello. We are getting into almost our 300th episode, you guys. Every single time I’m recording and I’m looking at these numbers, I am blown away. I cannot believe that we have almost put out 300 episodes. Oh my goodness. I am so glad that you are here. I have this energy this year. I don’t know what it is. You’ll have to let me know if you notice it, but I have this energy every time I’m recording this podcast. 2024 is vibing. I’m vibing with it. I’m really liking it. We have our friend Karen and are you from Florida, Karen? Karen: Yep. I’m in Orlando, Florida. Meagan: Florida. That’s what I was thinking. So if we have Florida mamas looking for providers, this is definitely an episode. I feel like probably weekly we would get 10 messages asking about providers and Florida is huge so Florida is actually one that is really common where we are getting messages for supportive providers. So Karen, along the way, if you feel to name-drop some providers that are supportive, feel free to do so but we are going to get into sharing her story in just one moment because we do have a Review of the Week. 3:46 Review of the Week Meagan: This is from louuuhuuuu. So louuuhuuuu, thank you for your review. They say that this is “very inspirational.” It says, “I knew I wanted a VBAC with my third pregnancy, but I wasn’t sure if it was possible. However, I knew I didn’t feel like being flat-out told, ‘No’ at the first appointment. Listening to the podcast was definitely the start of me really researching birth and looking into my options. I ended up with a successful HBA2C and I definitely don’t think I would have had the courage or believed it was possible without this podcast. Thank you, Meagan, for all of the work that you do to provide this information.” I love that review so much. I think that through time in my own research, I was told no. I wasn’t told, “No, no.” I was told, “Sure, probably yeah. You could VBAC,” but I never really got that positive vibe. I feel like this community that we have created with all of the people on the podcast...

Jennifer joins us today sharing her HBA3C story! Each birth was a stepping stone that gave her more education and wisdom which ultimately led to her home birth after three Cesareans. Jennifer’s first Cesarean was due to meconium in the water, slow progress, and heart rate issues. Her other two Cesareans were scheduled, but her third was particularly difficult because in her heart, Jennifer really wanted a VBAC. After regretting her decision to get her tubes tied during her third Cesarean, Jennifer opted for a reversal and it worked! Once pregnant with her fourth, she traveled two hours each way across state lines to find a home birth midwife. When labor began, Jennifer booked an Airbnb, called in her team, and had the beautiful home birth she knew she was capable of. Jennifer’s Website Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:20 Review of the Week 05:02 First C-section 06:48 Second C-section 08:02 Third C-section during COVID 10:09 Getting her tubes tied and reversal 13:38 Fourth pregnancy 16:39 Finding a home birth midwife in another state 19:02 Going into labor and reserving an Airbnb 24:04 Complete dilation 26:37 Pushing and catching her baby 31:24 You are worth it Meagan: Hello, hello everybody. This is Meagan, your host here at The VBAC Link and we have our friend, Jennifer. Hi Jennifer. Jennifer: Hi. Meagan: You guys, her story– we were just talking about this before the episode. It has a lot of surprises like, “Oh, I didn’t expect that. Whoa.” So I’m so excited to– I’ve read a summary of her story and am now excited to hear it in her own words. I also thought it was kind of fun. She was just saying her kids are excited to hear her story because they know The VBAC Link podcast too. Jennifer: Yep. It was part of our preparation for the birth just having them hear stuff and hear how births are because obviously, they’d never had any experience. Meagan: Yes, so how old are your kids? Jennifer: 11. 9, 3 and now newborn. Meagan: And now newborn. We have very similar-aged kids. 11 and 9 and then I have an 8-year-old this year. And then we jump. That is so exciting. I’m excited to get into your HBAC after three Cesareans and all of the fun things away. 02:20 Review of the Week Meagan: But I do have a Review of the Week and this review is from mcgrace. I actually think I know who this is. It says, “Must listen for every mom-to-be.” It says, “This podcast is a must-listen not just for the mom preparing for a VBAC but anyone who is giving birth and has given birth or plans to give birth in the U.S. Meagan wonderfully walks through personal stories while preparing helpful advocacy tips and a solid dose of empowerment in each episode. If you want to hear people discussing their path to VBAC, if you’re curious about what giving birth looks like in the U.S., and if you want tips on how to mentally, emotionally, and physically prepare yourself for the best birth, listen to this podcast.” Thank you so much for that review. Jennifer: Totally. I 100% agree. Meagan: That is so sweet. I do agree with her. Yes, VBAC is in the title of this podcast, but it really is for anyone. Jennifer: Totally. Meagan: And everyone wanting to give birth. Jennifer: Definitely. Meagan: I feel like if I had this podcast when I was preparing for my daughter Lainey, that would have changed a lot. Jennifer: Yes. If I had listened before my first birth, I feel like so much would have and could have been different. Meagan: Could have been different. I know. I’m so grateful for all of the Women of Strength who are sharing on this podcast and who are sharing on social media. By the way, we are accepting stories for our social media because we do have a lot of submissions on the podcast and we can’t get to everyone. We would love to still share every story possible, so if you are interested in sharing your story on our social media, email us at info@thevbaclink.com with...

"She was in my arms while she took her first breath and she was just so calm and beautiful. It feels like time just stops at that moment. It was so, so special to me." From turning down the opportunity to take a childbirth class during her first pregnancy to now passionately teaching her own classes (She Births Bravely) as a childbirth educator and attending births as a doula, Suzzie shares how birth has changed her. Located in Seattle, Suzzie talks about how her birth team created a safe place for her to have a peaceful home birth that was still very intense but didn’t feel that way. Meagan and Suzzie discuss pushing, continuous care, the importance of education, and their best tips on what to do during pregnancy to have an empowering birth experience no matter the outcome. Suzzie’s Childbirth Class Suzzie’s Website What Does Your Birth Plan Say About Your Personality Quiz Real Food For Pregnancy Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:28 Review of the Week 03:53 Suzzie’s molar pregnancy 06:27 Beginning labor with fear and doubt 09:01 “It has been over 24 hours. It’s time for you to have a C-section.” 10:51 Making friends with a student-midwife 14:41 Suzzie’s second pregnancy and labor 18:50 Baby Hazel’s birth 27:06 OBs attending home births 30:40 Continuous care during home birth 36:23 Birth preparation tips 43:29 Knowing what questions to ask 48:18 Waters being broken for 24 hours 50:31 Checking in if labor stalls Meagan: Hello, hello Women of Strength. How are you? This is Meagan, your host here at The VBAC Link. I’m excited to talk a little bit today about what can we do before we have our baby or what should we do when we get pregnant to start preparing for birth. We have our friend, Suzzie, with us today. Hello, Suzzie. Suzzie: Hi. Meagan: She is actually a doula and childbirth educator who has a lot of passion in sharing a message of what to do and how to prep and how to navigate through this amazing journey that we call pregnancy and birth and motherhood. She had an unexpected Cesarean just like a lot of us. If we go through most of these stories on the podcast, you’re going to hear that trend of it wasn’t expected. It wasn’t planned. It maybe wasn’t desired. That’s a common thing in our VBAC community. It’s important to know what to do and what to know because most of us just didn’t know what we didn’t know. 02:28 Review of the Week Meagan: So we are going to dive into a little bit more of how to prepare and a message from our darling Suzzie, but of course, we have a Review of the Week so we are going to get into that before we get into the next part. This is from kimberlyspair. Thank you, Kimberly. We love her. She says, “Thumbs up from us! Sharing such an essential message with love and compassion.” That is exactly what we are going to do today, sharing another message with love and compassion. As always, if you have a minute, we would love your review. You can leave it on Apple Podcasts, Google, message us at info@thevbaclink.com. Remember VBAC is V-B-A-C and let us know what you think about the show. 03:53 Suzzie’s molar pregnancy Meagan: Okay, cute Suzzie. So we were talking right before we got on the episode. You guys, she had her C-section birth at a hospital local to me here in Utah then went on to have an HBAC. Was your HBAC in Washington? Where was your home birth? Suzzie: It was. I live in Seattle and it was here in Washington. Meagan: Okay, cool. So Seattle, Washington mamas, listen up if you are looking for options for a provider. Yeah, so you talked a little bit about how birth taught you how much more capable you really are than you thought. I think that is something that happens a lot with us, right? We walk through this birth journey and we are like, “Dang, we are amazing.” We really, really, really are. Yeah, so Suzzie, tell us about your stories. Share your message with us. Suzzie: Yeah, yeah....

Cesareans can be peaceful, beautiful, and so healing. Though Alexis didn’t have the VBAC she planned for, she still had the euphoric birth she dreamed of. Alexis unexpectedly experienced PPROM and preeclampsia at 36 weeks with her first baby. Trying to labor and push under the effects of magnesium and all of the other interventions was incredibly exhausting. When baby started having decels, she knew it was time for the Cesarean. After a rough NICU stay and having to exclusively pump, Alexis knew she needed to be proactive about healing from her birth PTSD. She went to EMDR therapy and found the healing her heart needed. Alexis shares all of the ways her second birth was different from the first. She went into labor spontaneously. She progressed quickly and felt strong. But when baby flipped breech mid-labor, Alexis knew it was time for another Cesarean. Her team took their time honoring every wish Alexis had and truly gave her the birth of her dreams! How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:05 Review of the Week 05:29 Alexis’ first pregnancy during COVID 09:41 PPROM and preeclampsia 13:27 Pushing turned emergent Cesarean 16:54 NICU stay and exclusive pumping 20:45 EMDR therapy and postpartum healing 22:24 Second pregnancy 26:21 Beginning of labor 29:47 A picture-perfect labor 31:26 Baby flipping breech and going for a C-section 38:03 The game changer 40:56 A euphoric birth 43:45 Ways to have a gentle Cesarean 46:36 Music, skin-to-skin, clear drapes, mirrors, conversation, and maternal-assisted Cesareans 50:32 Vaginal seeding, advocacy, and backward dilation 52:29 Swelling in pregnancy and nutrition Meagan: Hello, hello everybody. Today’s episode is one that I am actually really excited to hear and share. I think a lot of the time when we are listening to The VBAC Link, we are looking for empowering VBAC stories, positive VBAC stories, and sometimes when we are sharing these stories, it is accompanied by traumatic Cesareans. We know that through all of these stories, I have personal experiences that a lot of these Cesareans are traumatic, and a lot of the time they are traumatic because they are undesired or they are pushed really hard or people feel like they are backed in a corner or so many interventions come into play that they happen in a traumatic manner. But today’s story is going to talk a little bit about how Cesarean doesn’t have to be traumatic and it can be peaceful. I relate personally to it because my second C-section, I didn’t want actually. I didn’t want it at all. It wasn’t what I planned on, but I still found so much healing through that birth and I think that in a lot of ways, it shifted my mindset of how to view Cesarean. I also want to recognize that our community doesn’t always want a VBAC, right? We are here learning about the options for birth after Cesarean but that doesn’t mean we only want VBAC so I’m excited to share this story today for everybody, especially for those who are unsure of what to do or want to maybe go the Cesarean route but want to have maybe a better experience than their last Cesarean. We’re going to talk about how to have a peaceful Cesarean. We have our friend, Alexis, with us today going to be sharing her peaceful journey with you. 02:05 Review of the Week But of course, we have a Review of the Week, so I want to dive into that and then turn the time over to her. This is from Apple Podcasts and it says lilylalalala. Lots of la la la. It says, “Inspiring and uplifting.” It says, “I first found this podcast in 2020 in the depths of the postpartum after a very traumatic, unplanned Cesarean with my first baby. I listened to every single episode as I struggled to process what had happened to me. I finally gathered up the courage to seek help for postpartum PTSD that I was experiencing. “This podcast is a treasure trove for inspiring stories which helped me regain confidence in my body to have a beautiful...

During her first pregnancy, Selah’s doctor predicted that her baby would be over 10 pounds. She insisted that it was not safe to deliver vaginally. Selah went right into her first Cesarean. She didn’t even have the chance to try. Her baby went to the NICU shortly after birth due to lung and blood sugar complications. When her fluid levels were low with her second pregnancy, Selah consented to another scheduled Cesarean remembering how her first one went pretty smoothly. Unfortunately, a turn of events resulted in an emergent situation, another NICU stay, and once again, Selah was not able to bond with her baby like she thought she would. Selah’s journey to her VBA2C included discovering The VBAC Link, building her supportive community, prenatal chiropractic care, and relentlessly educating herself to make sure she was set up for success. Though her labor was MUCH longer than expected, the spiritual, emotional, and physical transformation she experienced was completely worth it. Selah had a beautiful, empowering VBA2C with no complications. The best part– she got to hold that sweet baby immediately and for as looong as she wanted. Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 01:04 Review of the Week 04:08 Selah’s first pregnancy 07:25 First C-section 09:36 NICU 11:10 Second pregnancy 13:02 Low fluids 16:29 Scheduled Cesarean turned emergent 21:39 Surprise third pregnancy 27:33 Changing providers 36:33 Going into labor 39:20 Going to the hospital 44:54 Pitocin 48:35 The final hours 56:47 A crack in the catheter 1:00:00 The best feeling Meagan: Hello, hello everybody. You are listening to The VBAC Link and this is Meagan, your host. We have our friend, Selah, today. Hi, Selah. Selah: Hi. Hello. Meagan: Thank you so much for being here with us. I feel like there are so many parts of your story that truly are things that people are going to relate to. We’re going to be talking about bigger babies. We’re going to talk a little bit about that. We’re going to talk about changing a provider really late in pregnancy. I actually love this topic because I did it myself and it’s one that is scary sometimes to do. Selah: Yeah. Meagan: It’s intimidating. We’ll talk a little bit about low fluid. She’s got a NICU stay. There are lots of little things. Selah: A little bit of everything. Meagan: You are going to have relations to her story. She is a VBAC after two C-section mama story so if you are a VBAC after two C-sections, listen up. It’s going to be amazing. 01:04 Review of the Week Meagan: We have a review of the week so we are going to get into that then we are going to turn the time over to you, my love. Selah: Yay. Meagan: This review is– if I can find them. I just lost my reviews. It is from hannahargentina and it was on Apple Podcasts back in 2023 in February so just over a year ago. It says, “I have had a natural birth center birth, then moved out to the country and had a very traumatic C-section. I am now 37 weeks pregnant and back stateside working with an amazing birth team. I am really hoping for a VBAC in a few weeks and I love listening to all of the stories. Hearing different perspectives, and outcomes, and gaining wisdom, I feel so much more confident in my VBAC after listening to this podcast.” Well, it’s been just over a year so hannahargentina, if you are still with us, reach out at info@thevbaclink.com and tell us how it went. Selah: Aww, that’s awesome. Meagan: I know right, and here we are for you and your baby’s birthday is in a couple of days. Selah: I can’t even believe it and I got tears in my eyes listening to that review because that was me. That was me listening to every single podcast, your story, all of the stories, and it helped so tremendously. I can’t even tell you. To be on today is such an honor because I was so helped by you and your podcast and the community. I could not have done it without you so thank you....

Kara joins us today from the Los Angeles area sharing her VBA2C story! Kara’s first birth was a scary and chaotic emergency Cesarean. Though her second planned Cesarean went smoothly, Kara did not love how her birth felt like such a medical procedure. After experiencing a miscarriage during her third pregnancy, Kara experienced heartache and grief, but also shares how she gained a deep reverence for her body throughout the process. She just knew that her body was capable of having a vaginal birth. Kara pulled out all of the stops with her VBA2C prep. She built a birth team she felt great about. She prepared physically. She processed past fears and trauma. Though her birth had some intense twists, Kara was able to achieve the VBA2C she fought so hard for. She took the leap of faith, trusted her body, and saw what it could do. Kara’s Website Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:45 Review of the Week 05:09 Kara’s first pregnancy 08:17 Kara’s second pregnancy and planned Cesarean 10:57 Miscarriage 16:45 Fourth pregnancy and VBA2C prep 22:30 Beginning of labor 25:08 Thoughts about the hospital system 28:49 Breaking waters 32:28 Pushing, hemorrhaging, and the NICU Megan: Hello, hello Women of Strength. It is Meagan and we have got a VBAC after two C-sections story. Of course, I love VBA2C stories because I’m a VBAC after two C-sections mama. Her name is Kara and she is amazing. I’m just going to read your bio because you are just amazing. It says, “She is an award-winning creative marketer and mother of three. She is in LA.” If you have been listening for a little bit, she actually was on the show quite a few months ago at this point of being aired with her OB. Kara: Oh yes, with Dr. Brock. Oh my gosh, when I was pregnant. I don’t know why I forgot about that, but we interviewed my practitioner, Dr. Barry Brock, together who is a very VBAC-supportive provider. That was a really fun conversation. I think I was 4 or 5 months pregnant at that point. Meagan: Yeah. We really wanted to ask him some questions about VBAC. He was with you along your journey and he was so gracious to come on and talk with us. So yeah. She has worked on so many amazing things, some of your favorite things I’m sure like Netflix, Stranger Things, which is definitely one of my favorites, Patrone Tequila, and some of your favorite women’s apparel brands at Target which is also my favorite store. She started her own brand consulting agency, Always Friday, in 2019, and after the birth of her first daughter, Hadley, she experienced an emergency C-section with her and then a planned C-section, and then a miscarriage, and then went on to have a VBAC after two C-section story. We are going to hear all of the stories today. Thank you, Kara, for being here. Kara: Yes. I’m so excited to be here. I love this community and I don’t think that I could have gotten to a place where I was having a VBAC without your podcast, without finding The VBAC Link Facebook group and just hearing other women really give me the encouragement to not do a third C-section. I am really happy. I’m just about three months postpartum now, so forgive me if I make no sense. Yeah. I’m just grateful for your guidance, your expertise, and all of the things that you pour your heart into as an expert on all things VBAC. Meagan: Aw. Kara: Thank you for that. Meagan: Well, thank you so much. I’m so excited to hear this story because I haven’t even heard the full story. I just have this little blurb right here on my form, so I’m really excited to dive into it. 02:45 Review of the Week Meagan: We do have a review of the week and I put Kara on the spot you guys because she actually took Needed during her pregnancy and first, I’m obsessed with Needed and love and trust Needed. You took it throughout pregnancy and I would just love to hear your review on Needed today. Kara: Yes. I have obviously looked at all of...

Danielle Duboise, the co-founder of Sakara Life, has changed millions of lives through her advocacy for wellness and nourishment both of the body and the soul. Danielle is also an HBAC mama and shares with us the valuable lessons she has learned from both of her births about the mother-baby connection, surrendering, and the true meaning of an empowered birth. Danielle and Meagan have just the sweetest conversation that we know will leave you feeling inspired and uplifted. Danielle encourages birthing women especially to care for themselves on the deepest levels. Her words align so perfectly with all of the things that are important to us at The VBAC Link. Meagan had chills throughout the entire episode as Danielle spoke and we know you will too! Sakara Life Website Danielle’s Podcast Eat Clean, Play Dirty Spirit Babies Book Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 03:51 Sharing your birth plans with others 9:13 Danielle’s first pregnancy with vasa previa 11:29 A humbling birth experience 14:09 Going into labor 17:06 Danielle’s C-section 23:31 Connecting with your baby 32:26 Surrendering 36:06 Choices in birth 39:14 The ripple effect of birth 42:34 Ways to release fear 53:02 Which risks are you willing to take? 56:07 Nutrition and nourishment Meagan: Hello, Women of Strength. We have an amazing guest for you today. Her name is Danielle and she is the co-founder of Sakara Life. It is a wellness company providing the tools to achieve optimal health and vitality. If you haven’t caught on already listening to our Needed ads and other episodes, health is so important, and optimal health and getting the nutrients and the things that you need in your life is so important in how we handle life. She is a true pioneer in the health industry and launched the brand in 2012 with her best friend, Whitney. Creating their unique nutrition philosophy which merges modern science with ancient healing wisdom. Since its conception, Sakara has transformed millions of lives through its signature program, functional products, and supplements. Leading the global movement as an advocate for plants and medicine, Danielle became a nationally bestselling author with Sakara’s debut cookbook which is called Eat Clean, Play Dirty, and is the co-host of the wildly popular, which I also am obsessed with, Sakara Life podcast. A certified holistic health coach, nutritionist, and expert in plant-based living and the microbiome, Danielle is currently pursuing her Master of Science in human nutrition and functional medicine. You can continue to see both personal and professional features of Danielle in things like Vogue, New York Times, The Wall Street Journal, and the Couverture– I think is how I say it- and Goop. She was born and raised in Arizona and Danielle is true to her Sedona roots while living in New York City with her husband, daughter, and son. She is joining us today to share with you her journey. She had a C-section and then went on to have an HBAC as well as giving us some more of her amazing wisdom. 03:51 Sharing your birth plans with others Meagan: Hello, Women of Strength. We have an amazing guest today. Her name is Danielle. And did I say your last name? Is it Duboise? Danielle: It’s Duboise. I think technically, Duboise is maybe proper, but we’ve always said Duboise. Meagan: Duboise. That sounds– I always sat it Duboise in my head because I think I just read it and don’t– anyway. Welcome to the show. Danielle: Thank you. Thank you for having me. Meagan: Oh my gosh. I’m so excited. So so excited. Okay, we were talking a little bit before about HBAC, home birth after Cesarean, so she of course is going to share her Cesarean and her HBAC, but we were talking about how it’s something that happens obviously but a lot of people don’t talk about their plans to do it. They don’t want to share it with people, so we will get into that but I’m curious how you felt...

Hearing about risk is hard. Interpreting risk is even harder, but deciding which risks are comfortable for you is an essential part of birth! Meagan and Julie discuss how to tell the difference between relative and absolute risk, and what kind of conversations to have with your provider to help you better understand what the numbers mean. They also quote many stats and risk percentages around topics like blood transfusions, uterine rupture, eating during labor, epidurals, Pitocin, AROM, and episiotomies. And if you don’t feel comfortable with accepting a certain risk, that is OKAY. We support your birthing in the way that feels best to you! Risk of Uterine Rupture with Vaginal Birth after Cesarean in Twin Gestations Journal of Perinatal Education Article What are the chances of being struck by lightning? Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 02:52 Review of the Week 06:08 Determining acceptable risk for you and your provider 08:00 Absolute versus relative risk 15:21 More conversations need to happen 25:29 Risk of blood transfusion in VBAC, second C-section, and third C-section 30:37 Understanding the meaning of statistical significance 32:05 “The United States is intervention intensive” 36:27 Eating during labor and the risk of aspiration under anesthesia 43:03 Epidurals, Pitocin, AROM, episiotomies, and C-section percentages 44:43 The perspective of birth doulas and birth photographers Meagan: Hello, hello everybody. Guess who I have today? Julie! Julie: Hello. Meagan: Hello. It’s so good to have you on today. Julie: Of course. It’s always fun to be here. Meagan: It really is. It’s so fun. When we sit and chat before, it just feels so comfortable like that is the norm still for me even though it has been a while, it just feels so normal and I love it. I miss you and I love you and I am so excited to be here with you today. You guys, we are going to talk a little bit about risk. We know that in the VBAC world, there’s a lot of risk that comes up. I should say a lot of talk about risk that comes up whether it be is it safe to even have a VBAC? Is it safe to be induced? What are our real risks of uterine rupture? Is it safe to VBAC with an epidural or without an epidural? What about at home out of the hospital? Is that safe? I don’t know. Let’s talk about that today. Julie: Let’s talk about it. Meagan: Let’s talk about it. I think it’s really important to note that no matter what— and we’re going to talk about this for sure today, but no matter what, you have to take the risks that you are presented and that is given and still decide what’s best for you. That risk doesn’t mean that is what you have to or can’t do. Right? So I think while you are listening, be mindful or kind of keep that in the back of your mind of, “Okay, I’m hearing. I’m learning.” Let’s figure out what this really means and then let’s figure out what’s truly best for you and your baby. 02:52 Review of the Week I do have a Review of the Week so I want to hurry and read that, then Julie and I will dive into risk and assessing. Julie: Dun dun, we’re ready. Meagan: We are ready. Okay, holy cow. This is a really long review, so— Julie: You can do it. Meagan: Thank you to Sara R-2019 on Apple Podcasts for leaving this review. I love how Julie was like, “You can do it,” because she knows that I get ahead of what I’m reading in my mind and then I can’t read, so let’s see how many times it takes to read this review. Julie: You’ve got this. Meagan: Okay. It says, “A balanced and positive perspective.” It says, “As a physician myself I think it is unusual to find balanced resources for patients that represent the medical facts but also the patient experience and correct for some of the inaccuracies in medicine. This podcast does an amazing job of striking this balance! “I had an emergency C-section with my daughter 2 years ago. Despite understanding that the CS was...

“Your diagnosis of preeclampsia is not forever. It will pass. You will get through it. You can do it.” Meagan invites her dear friend and doula client, Emily, on the podcast today to share her two very different birth stories and what she has learned along the way. During her first pregnancy, Emily was diagnosed with severe preeclampsia at 27 weeks and 6 days. She talks about specific symptoms to watch for and explains why she advises every pregnant woman to have their own blood pressure cuff. Emily had to shift her home birth plans to focus on staying pregnant as long as she safely could. Six weeks later, Emily shares her daughter’s wild birth story and tough NICU experience. Having preeclampsia the first time around does not mean it will come back in the future. Emily talks about the nutrition and lifestyle changes she made during her second pregnancy and how preeclampsia was not an issue at all with her second delivery. Emily was able to have a beautiful home birth and a big, healthy baby boy! Additional Links Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 01:52 Review of the Week 04:02 Emily’s first pregnancy 10:25 Preeclampsia diagnosis 14:48 34-week induction 21:26 Giving birth 29:25 Learning about and knowing your body 34:37 Second pregnancy 46:16 Working through trauma 53:36 Shifting plans Meagan: Hello, Women of Strength. It is Meagan, and I am so excited to dive into today's episode with you. The episode that we have today, or the guest, I should say, that we have today is someone so near and dear to my heart. And I'm just gonna kind of give a little bit of a spoil alert. She is not a VBAC mama so this is not going to be a VBAC story but our guest today is someone that I think is going to leave you guys with a wealth of knowledge through her experiences and so I want to welcome my own personal friend and doula client, Emily. Welcome to the show. Emily: Hi. Meagan: Hi, you guys were going to be talking a little bit, well, a little bit about a lot of things, but we're gonna be talking a little bit about preeclampsia. We're gonna be talking about shifting gears from our birth desires and birth plans and so much more. I wanted her to be on the show because you guys, seriously, she really needs to write a book. She can talk all day to me and I just stare at her with amazement in my eyes, because she just is so incredible to listen to with her knowledge, her research, and all the things to make birth different the second time around, and do what she could do the first time around, which also goes along with mindfulness. There are so many things, you guys, about Emily that I just love and adore. I'm so excited to have her on the show today and I know that you're going to be taking a whole bunch of nuggets away from her episode. So make sure to take maybe some notes, or get your pen and paper out and join us in just one moment. 01:52 Review of the Week Meagan: But of course, we have a Review of the Week, so I'm gonna hurry and read that, and then we'll get going. This review was left in 2020, so a few years ago. It says, “I love these ladies and this podcast.” She says, “I love listening to your podcast. I listen almost every day in the car so often that my oldest son knows you by both of your names.” I love that. I love that your kids know our names. It says, “Since the stories shared here have inspired me so much, I wish that I had the information with my first baby. I've had two C-sections, and I'm not pregnant at the moment but still have to get my husband on board for a third. But I'm so excited to start planning for my VBA2C to see when the time comes. Thank you, Julie and Meagan, for creating the amazing VBAC community. I'm so grateful for the education and support.” This was a really long time ago. So eecc3, if you have talked your husband into another baby and gone on to have your VBA2C let us know. You could email us, at...

“Birth is birth and we just want our babies here safe, but I also think that we all deserve to be empowered to have the birth that feels right.” One night, a few months after her second C-section, Arianna had a dream that she was giving birth vaginally to a sweet baby boy and pulled him right up to her chest. The next morning, she took a pregnancy test and it was surprisingly positive. Coming from a small town in Wyoming, she already knew from her second pregnancy that VBAC was not allowed locally. But at that moment, Arianna knew she was going to do whatever it took to have her VBA2C. Arianna traveled 2.5 hours each way for routine midwife and OB appointments in Montana to have VBAC-supportive providers. She faced many roadblocks including a short pregnancy interval, gestational diabetes, preterm premature rupture of membranes (PPROM), a medical induction, other interventions she wasn’t planning for, and slow progress. But her team was patient and encouraging, Arianna felt divinely watched over, and her VBA2C dream literally came true! The VBAC Link Blog: What to do When Your Water Breaks The VBAC Link Blog: VBAC With Gestational Diabetes The VBAC Link Facebook Community Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details 01:44 Review of the Week 03:52 Arianna’s first birth story 07:04 Requesting a C-section 08:34 Arianna’s second birth 11:36 VBAC preparation 15:37 Signs of preterm labor 20:34 Going to the hospital 24:04 First cervical check 27:10 Slow effacement 31:05 Catching her baby 33:59 Importance of support 36:35 Dual care tips 44:56 Traveling tips Meagan: Hello, Women of Strength. We are on episode two of the week and I am just so excited that we are doing this. It is so fun to bring double doses of VBAC, CBAC, and educational stories to inspire and encourage you during your journey. Today, we have our friend, Arianna, and she is from Wyoming. Is that correct? Arianna: Yep. Meagan: Yes, Wyoming. Where in Wyoming? Arianna: Buffalo. It sits under the Big Horn mountains. Meagan: Awesome. You guys, she actually traveled quite a distance to find her provider and that is something I think we get often in our community where it’s like, “I don’t know how far is appropriate to travel.” I think the answer literally depends on what’s appropriate for your family and your living situation and your needs and everything like that. But Arianna– I just started butchering your name. Did you travel 2.5 hours? Arianna: About 2.5 up to Montana. Meagan: Okay, so we are definitely going to want to talk about that because I know this is going to be something that people are going to be interested in. Also, you had gestational diabetes. Arianna: Yes. Meagan: Yes. So okay, you guys, any story right? But if you are looking for knowing how to travel or gestational diabetes or anything like that, this is definitely the episode to listen to. 01:44 Review of the Week Meagan: But of course, we have a Review of the Week and this is a fresh review, well fresher review. It’s in 2023 so just last year which is crazy still to me to say that this is last year, but it was in 2023 by sayerbaercooks. The review title is “Educating and Empowering.” It says, “Just had my VBAC. My pregnancy and birth changed all for the better thanks to this podcast and the women who shared their stories. This tool gave me the information I needed to advocate for me and my baby. I learned about the medical system and about myself and I had a fantastic birth which was the icing on the cake. I cannot thank you all enough.” I love that so much. I love that this podcast is doing exactly what we created it to do. So Women of Strength, one, if you have shared your story on our podcast, thank you. Thank you so much for creating such an amazing space for all of the Women of Strength listening. And if you are interested in sharing your story, definitely email us. Reach out or you can go online at...

We know that unique circumstances in pregnancy can make a VBAC feel farther out of reach. Do your chances of having a VBAC go down if you had preeclampsia in a previous pregnancy or your current one? What if you have a special scar? What are the chances of having a VBAC if you were diagnosed with “failure to progress”? What about fibroids or gestational diabetes? Julie Francom joins Meagan on today’s episode discussing evidence-based research around all of these topics. They share personal experiences as birth workers and overall takeaways that can help you confidently navigate your VBAC journey no matter what complications arise during your pregnancy. Additional Links Special Scars Studies The VBAC Link Blog: Why Failure to Progress in Labor is Usually Failure to Wait AJOG Article Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Timestamp Topics 02:54 Review of the Week 5:51 Preeclampsia 08:57 Ask questions 12:51 Special scars 17:58 Failure to progress 26:15 Fibroids 27:54 Gestational Diabetes 35:06 Find a supportive provider, ask questions, and educate yourself Transcript Meagan: Hello, hello everybody. We are getting out of winter and maybe into some spring weather, hopefully. I always hope for spring weather in March because it’s my daughter’s birthday and she always wants sunshine, not snow for her birthday. So I’m crossing my fingers that this is the month we have sunshine, not snow. I hope you guys are having a wonderful beginning– well, I guess it’s not actually spring, but I hope you’re having a wonderful beginning of March. We are kicking off our very first Monday episode for 2024. You guys, we have a little surprise for you. We are going to be sending out two, not just one, but two episodes a week. Make sure to tune in on Mondays and Wednesdays for stories and information. Today, we are kicking it off with Julie. Hello. Julie: Hey. I’m so happy to be here and yes, I’m hoping it’s warm or getting there because I am just a popsicle permanently from November to March so let’s just thaw out a little bit, please. Meagan: Just a little bit. Even if we just get some little sprinkles, let’s have April showers in March. Julie: Yeah. Meagan: You guys, I am so excited for today’s episode. Julie and I feel like these are some questions, I am definitely getting these questions on the weekly Q and A’s, but these are some questions that are often asked and we want to answer your questions today. We’re going to be talking about a whole bunch of things. Julie: A whole bunch of things. Meagan: What are the chances if I have preeclampsia? A special scar? Failure to progress? Julie: Gestational diabetes. Meagan: Gestational diabetes and maybe uterine fibroids. We are going to talk a little bit more about those. What are your chances for VBAC or vaginal birth if you have these things or have had them? Maybe you are not pregnant yet and you had preeclampsia last time or gestational diabetes last time. What are your chances? 02:54 Review of the Week Meagan: So without further ado, I’m going to turn the time over to Julie for a review and we’ll dive right in. Julie: Without further ado, here is Julie. Okay, this review is from Google. It is from Christa and she says, “This podcast is beyond empowering. After my C-section after multiple unnecessary interventions, I knew immediately I wanted a VBAC for my next baby. I found this podcast not long after and have been an avid listener for four years.” Four years, wow! Meagan: That’s amazing. Julie: I know. “The VBAC link lifts the veil on birth and allows women to educate themselves and make their own decisions instead of just blindly trusting providers as many of us have in the past. Because of this podcast, the topic of birth/VBACs has become such a passion of mine and I now feel confident in my knowledge and ability to advocate for myself next time. I recommend this podcast to every mom and expectant...

We love hearing stories of how our Women of Strength navigate birth in an empowered way, no matter the outcome. Rebecca’s story shows how she carefully selected the most supportive homebirth midwife, created a safe birth space in her home, labored hard and beautifully with her husband, took time to process information, assessed her situation, and consented to her second Cesarean when the time felt right to her. Meagan also talks about the different types of positioning and some signs that your baby might be in a less-than-ideal position. Rebecca and Meagan discuss tips and tricks to help prevent a swollen cervix and what options you have if that happens to you! Additional Links Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Timestamp Topics 01:54 Review of the Week 04:31 Rebecca’s first pregnancy 07:25 Consenting to an unexpected C-section for breech presentation 8:53 Fertility Fridays 11:02 Sparked interest in VBAC and getting pregnant again 13:53 Planning for a HBAC 18:00 Tachycardia and GBS positive 21:27 Early labor 24:18 Calling the team 30:10 Laboring through the night 39:02 Making the decision to transfer 44:53 Consenting to a C-section 46:43 Tips for when things don’t go as planned 50:43 Signs of wonky positioning 53:31 What to do 57:00 Why you shouldn’t skip the repeat Cesarean stories Meagan: Hello, hello. It is Meagan with another amazing story on The VBAC Link podcast. Thank you so much for listening to us, you guys. I love this community. I know I talk about it. I know it’s weird that I don’t even know you, but I love you. I love you so much and I’m so glad that you are here with us today. We have our guest today from, let’s see, Virginia. I think it’s Virginia. That’s what my mind is saying. Rebecca: Yep. Meagan: This is Rebecca, so welcome, Rebecca. Rebecca: Thank you. Thank you for having me. I’m really excited. Meagan: Absolutely. Me too. Her story, you guys, today is a repeat Cesarean story so if you didn’t know on The VBAC Link, we do share repeat Cesarean stories because they are important to share as well. I’m excited for you to share more about your story and we’re going to talk a little bit about swelling of the cervix at the end of this episode because this is something that we see and is a little bit of a part of your story. 01:54 Review of the Week Before we dive into the story and all of the things, we of course want to share a Review of the Week. This review is from shotsie3 and it says, “Amazing is not a strong enough word.” That is really awesome. I love that. It says, “I cannot say enough good things about The VBAC Link. Listening to this podcast not only saved my mental health but gave me the knowledge and confidence to take control of my second pregnancy. After my home birth turned into a hospital transfer and Cesarean with my first child, I felt broken. When I unexpectedly found out I was pregnant just 7 months postpartum, I felt scared and lost. I was afraid of failing again and doubted my body’s ability to birth naturally, but I knew I absolutely could not have another Cesarean so I started obsessively researching VBAC. That’s when I found The VBAC Link. I’ve been binging episodes ever since. Listening to these stories has been incredible. Each episode is like giving a shot of confidence into the arm.” Oh, I love that. A shot of confidence into the arm. We’re giving you guys a little vaccine of confidence. It says, “Both my midwives and doulas have commented on how far my mental prep has come and I know it’s all thanks to The VBAC Link. Julie and Meagan have given me lots of tools and resources to control my birth.” I love that. Control your birth. “I am now looking forward to welcoming my second child via HBAC in just five short weeks. I want to shout it from the rooftop, ‘EVERYONE SHOULD LISTEN TO THE VBAC LINK!’” This review was a little while ago, so shotsie3, if you are still listening with us,...

Happy podcast Wednesday, Women of Strength! You do NOT want to miss today’s episode. Clair shares her beautiful journey to a VBA3C. After fully dilating and pushing for hours but ultimately ending in C-sections with her first three babies, Clair finally had the vaginal birth she so badly hoped for with her fourth! Clair shows just how powerful birth can be when a woman’s intuition is combined with informed consent and an open-minded birth team. There were unfortunately some technical difficulties during this episode and part of Clair’s third birth story was not recorded. Clair graciously submitted this written account below. 24:08 “With my third baby (attempted VBA2C), I dilated quickly and smoothly, baby was descending beautifully, and I started feeling like it was time to push. I pushed for a long time - a couple of hours - and he was coming down, but slowly. We tried many different positions, moving around, etc… but it was taking a while. Looking back, I was having some back labor and it’s likely that when my water broke on its own, he dropped into a posterior position. After several more hours, we could see his head! I thought a VBAC might really happen! But baby’s heart rate started having decels and having a hard time coming back up, so we decided to transfer to the hospital for monitoring. I was pretty exhausted by that point, so I was hoping that IV fluids would help me regain strength and keep going. When we got to the hospital, however, they would only let me labor in the operating room because I was a VBAC patient, so I was very limited in mobility and my options. Baby seemed stable, but they were basically prepping for surgery from the moment I walked in the door and wouldn’t tell me baby’s stats. We eventually called it, opting for a C-section on our terms so we could have delayed cord clamping and a calm environment. Baby boy was almost 10 pounds and had very healthy APGAR scores! I was disappointed I didn’t have a VBAC, but I felt respected by my midwife the whole way through. Postpartum physical recovery was difficult, but emotionally this birth was much less traumatic because I had a supportive birth team. I also took two intentional weeks to do nothing but be with the baby and rest, which I hadn’t done with my previous two births, and that made a huge difference in my mental health and bonding with my baby!” Additional Links Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Time Stamp Topics 01:56 Review of the Week 04:30 Clair’s first pregnancy and birth 07:50 Recovering from a C-section while moving 09:24 Getting pregnant at 3 months postpartum & dual care during COVID 14:39 Laboring at home to complete & hospital check-in 17:49 Clair’s second Cesarean 19:08 An emotional recovery 23:38 Third labor with a home birth midwife 24:08 Pause in story – read caption! 24:20 Fourth pregnancy 28:49 Moving to Utah 35:34 Midwifery care in the hospital 38:47 Active labor begins 45:04 Circumvallate placenta Meagan: Hello, hello Women of Strength. We are at the end of February here and we have a story that I swear– VBAC after multiple Cesareans is very highly requested when it comes to this community so we have a story for you guys today for VBAC after three C-sections. Not only was it a VBAC after three C-sections, but it was also a pre-term VBAC after three C-sections. I think in a lot of places around the world if someone came in pre-term and they have had three C-sections, finding that support is going to be hard. It doesn’t need to be necessarily hard, but I know that it can be so I’m excited for this story from our guest, Clair, today because it’s a story that just shows that it is possible even if you have certain things stacked against you that the medical world looks at in a negative way. 01:56 Review of the Week So we are going to be sharing that story here in just a few minutes, but of course, we have a Review of the Week and this...