Episode 450 Midwife Katie's Birth Center VBAC + Shoulder Dystocia HBAC & BIG Baby + Cesarean Awareness Month
The VBAC LinkShow Notes
April is Cesarean Awareness Month and Women of Strength, we are aware of YOU. All month long, we are bringing you VBAC stories & discussions featuring these most common reasons for cesareans: • Big babies • Failure to progress • Twins • Breech • Fetal heart tones And for our CBAC and RCS mamas, we’ve got a special episode all about maternal assisted cesareans, so stay tuned!! In today’s episode, we talk with Katie, a Certified Professional Midwife from Oregon, whose journey into midwifery began after her own VBAC. Her first birth began spontaneously at the start of COVID and ended in a cesarean with an asynclitic, sunny side up baby. Her second birth was a healing VBAC at a freestanding birth center with midwives. Her third birth at home was longer than her previous VBAC and required her to let go of expectations and trust the process. This birth ended in a successful VBAC with a shoulder dystocia, postpartum hemorrhage, and a second degree tear. We’ll let you listen to the episode to find out just how big her record-setting baby was! Katie talks about just how different births can be, what it takes to become a CPM, ways to manage postpartum hemorrhage, shoulder dystocia maneuvers, safe transfer from out-of-hospital to hospital care, and recent policies that impact midwives attending VBACs. Katie reminds us to choose your birth team wisely, the mind is a powerful thing, and sometimes letting go of expectations is the only way through.
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More from The VBAC Link
Trigger Warning: miscarriage, ectopic pregnancy, and pregnancy loss Instead of our usual birth after cesarean story, this week, we are continuing to honor Pregnancy and Infant Loss Awareness Month by hearing our very own co-host, Lily Wyn, share her experiences with pregnancy loss. Lily’s first pregnancy ended in an early miscarriage, and her second was an ectopic pregnancy that resulted in losing her baby and one of her fallopian tubes. Her two stories of loss were deeply influential in her VBAC journey and have helped shape her into the Lily that we know and love today. You are invited to attend this “TMI class with Lily,” where she shares the physical and emotional details of pregnancy loss that no one really talks about, but that she wished someone had told her. We believe so much in the power of sharing so others don’t feel alone. If you are currently going through pregnancy or infant loss, or if you are preparing for a birth after a loss, we see you and send all of our love.
“This VBAC was so redemptive for me because I felt like it was the first time my body did the things that it was designed to do without the intervention of medicine or doctors. I feel like it healed so many wounds in my soul.”
“Our first daughter, Violet, was born at 30 weeks via C-section due to a variety of health complications. She died 12 days later in the NICU, and we love and miss her so much. We were not aware until after she died that she had a fatal condition called triploidy, which was misdiagnosed as Dandy-Walker. 6.5 months later, through immense fear and grief, I became pregnant with our second daughter, Valerie, and I was lucky to find an amazing VBAC-friendly practice that believed in me despite the short interval between births. Valerie was born at 40+5 after 44.5 hours of labor, and her birth had my doula saying, ‘I’ve never seen this happen before!’ I hope my happy ending provides hope and inspiration to listeners, especially those who have experienced loss.” Rachel’s story is packed with SO MUCH, including but not limited to infant loss, chromosomal abnormality, miracles, a 16.5-month interval between births, pregnancy after loss, hospital VBAC, long labor, doula support, and pivoting from unmedicated plans to an epidural and Pitocin as helpful tools. Pregnancy and Infant Loss Awareness Month is a tender time, and we feel passionately that listening to women tell their stories of loss helps us become kinder, softer, and stronger together. We honor Rachel, Valerie, and sweet Violet's memory today.
Melle McPhee is a VBAC Link Certified Doula and mom of three girls. Her first birth was an 11-hour vaginal delivery at 39+6 with an epidural and episiotomy. After PPROM (preterm premature rupture of membranes) at 36+5 with her second, Melle found out that her baby was footling breech and had an emergency cesarean. Melle struggled with feeling like her body had failed and feared another spontaneous preterm birth. During her third pregnancy, Melle focused on supporting a full-term pregnancy, including daily collagen protein, exercise, and a nutrient-dense diet. At exactly 40 weeks, she went into spontaneous labor and had a 12-hour physiological home birth VBAC with a midwife. Her water didn’t break until five minutes before birth, and she had no tearing. Melle shares how she approached the recommendations surrounding VBAC, home birth, continuous monitoring, and cervical checks through informed consent and her own risk tolerance. Her biggest VBAC advice is to hire a doula and know that a previous spontaneous preterm birth does not mean your body is broken or that you can’t carry a future baby to term. Keywords: VBAC, VBAC Doula, HBAC, home birth, PPROM, preterm birth, footling breech, breech prevention, midwife, circumvallate placenta, marginal cord insertion
“The deck was stacked against me: advanced maternal age, circumvallate placenta, marginal cord insertion, gestational diabetes, induced VBAC, delivery after 41 weeks, 4 hours of pushing, and vacuum assisted delivery.” After 38 hours of labor, chorioamnionitis, and late decels, Stephanie’s rainbow baby boy was born by cesarean. His umbilical cord was only five inches long, her husband missed the birth after being forgotten outside the OR, and their son spent five days in the NICU. For her VBAC, she tried all the things to go into labor naturally before being induced at 41+3 with low and slow Pitocin. With the support of a patient OB, doula, and her husband, she labored unmedicated and pushed for four hours before welcoming her daughter with the help of a vacuum. Even with a second-degree tear, postpartum hemorrhage, and a retained placenta, she says that her VBAC was much less traumatic than her cesarean.