labor positions

What's a Doula and Why I Recommend One

Art by Amanda Greavette

Art by Amanda Greavette

Happy WorldDoulaWeek! This is a week initiated by a doula in Israel to empower and support doulas around the world to improve the emotional and social health of birthing and postpartum women and their families; this is so needed in modern times, with the breakdown of community and resulting lack of sisterhood mothering, along with the prevalent fear and lack of exposure to birth, and the medicalization of childbirth. Says Dr. John H. Kennel MD, "If a #doula were a drug, it would be unethical not to use it."  When I think of the many #doulas I have been blessed to work with, I am reminded of strong, beautiful, kind, passionate, dedicated, fun-loving women who have found their calling supporting other women - these women rise by lifting others. Hug your doula this week; and if you don't have one, find one to hug, and research the many proven benefits of having a doula, especially if you are giving birth for the first time. 

I do love my vintage office bumper sticker.

I do love my vintage office bumper sticker.

What is a doula is and why do I recommend one when you don't have that kind of support around you?

A doula or a labor support person like a doula is must - someone calm and nurturing to mother you, who knows how to help mamas in labor, birth and postpartum and trusts the process. Women were surrounded by homebirth and supported other women in labor through history and around many parts of the world still today. In the US and many parts of the modern world today, many mamas don't have this, and it negatively impacts their birth and postpartum. My transfer rate is ~ 7% and it's mostly first time moms with prolonged labors, exhaustion and with a common theme - they did not set themselves up with doula or doula like labor support, despite what I said, now documented by solid research. I want mamas to optimize their chances of having an empowered, deeply positive and healthy birth experience. See if your midwife knows great doulas with a sliding scale. An awesome one is worth every penny.

I could talk for hours about this, but here are the main reasons I believe pregnant moms, especially first timers, those planning to VBAC, and those who have an obstetrician as their provider, should hire a doula. Doulas and midwives compliment one another even in out of hospital birth settings, and preserve rather than interfere with partner & family support & privacy.  Often dads are grateful they do not have to learn to be a labor coach.

In many cultures today, and throughout history, until relatively recently, when birth was moved into the hospitals in the 1920s to 1940s, and people dispersed away from their villages, women supported women through childbirth and postpartum. Doulas fill this void, and are trained to provide emotional support, comfort measures, reassurance, encouragement, empowerment, advocacy, and basically mother the laboring and postpartum mother. Most doulas go through a short training and certification process, although many take continuing education and serve childbearing families in other ways such as facilitating pregnancy and postpartum support circles, doing birth photography, creating mother blessing ceremonies, encapsulating placentas, and becoming childbirth educators to teach childbirth classes. Doulas are not medical providers like midwives and obstetricians, responsible for the actual maternity and newborn care - although midwives are more likely to provide doula like care which is integral to authentic midwifery, that is not their main role.

There is an impressive body of research on the many benefits without risks, of the continuous support of an experienced doula during labor, such as improved coping, self confidence, esteem and empowerment, enhanced satisfaction and positive feelings about their childbirth, shorter and easier labors, an easier time adapting to motherhood with enhanced skills, longer breastfeeding, more positive feelings towards their baby and even improved relationship with their partner! Scientific evidence from gold standard medical studies also reveals less pain and fear, less childbirth interventions including cesarean, vacuum and forceps deliveries, less episiotomies, medication for pain and stimulating labor, less babies in poor condition needing intensive care and longer hospital stays, and all the associated risks to of above interventions, and less postpartum depression. This is HUGE! It's having a personal coach so that you have the most healthiest, wonderful experience possible. All successful professional athletes, performers and most leading businesses and entrepreneurs have a coach of some sort.

Photo by Julia Sywers.

Photo by Julia Sywers.

This is doula love, given by my amazing birth assistant, doula and childbirth educator, to a superhero mama having her second homebirth. "The wisdom and compassion a woman intuitively experiences in childbirth can make her a source of healing and understanding for other women." - said the beloved Steve Gaskin. I want to honor all doulas this happy world doula week, and all superhero mamas who have given birth anyhow, anywhere.  Photo by Julia Sywers.

For personal questions and need for individual guidance you can schedule an online consultation with me- this is one of passions and areas of expertise. Many mamas ask to consult with me about their personal fears and concerns and what to do about them. I love helping mamas in person, and now with this global IG community, via Skype or phone conversation. You can also take my unique online ROCK and LOVE YOUR BIRTH course, which basically guides you through your pregnancy to birth and postpartum journey, as I guide the families in my midwifery practice - without the hands on care, to prepare and plan for an experience of their dreams.

Do you need supplements for preconception and pregnancy? Here are some of my favorite I recommend to mamas in my practice, along with my favorite herbal tea recipe for your journey. 

Make your Red Raspberry Leaf and Nettle herbal infusion.....rich in needed nutrients and specifically nourishing for pregnancy, birth and postpartum. Place 1 oz of dried red raspberry leaf, 1 oz of dried nettle leaf in a quart-sized glass canning jar with strainer, fill it with boiling water, cover and steep for at least 2 -4 hours at room temperature. Strain and place in a covered pitcher. You can make it in larger quantities and store in the fridge. For taste, dilute with water or steep for less time (but no less than half an hour), add lemon or lime juice, mint leaves or a teaspoon of honey. Drink 1-4 cups daily hot or cold.

I am passionate about changing lives. This 44-day course is changing lives. Vital Mind Reset is a program that will hold your hand and help you heal your life without a prescription. It will also introduce you to a community of people just like you – all working to transform their lives and revive their power and joy. Be a part of this community. Be a part of something greater and get yourself back! This course is a must, by renowned holistic psychiatrist Dr. Kelly Brogan, author of NY Times best seller 'A Mind Of Your Own', a dear friend and trusted colleague I can vouch for personally and support whole heartedly.  

Get a 10% discount on your Sleepod purchases ataskrembla.com-use the code SWEETHOME to get your discount.

Get a 10% discount on your Sleepod purchases ataskrembla.com-use the code SWEETHOME to get your discount.

Below are some supplies to help you Rock your birthing experience! For more details check a recent  blog I specifically devoted to my recommended top 10 must haves for your birth - to make it easier and so much more wonderful.

Birth: Expect The Unexpected

When it comes to birth, oftentimes things don’t go as planned. Sometimes this means a woman never makes it to the birthing tub she prepared, filled up and dreamt about birthing in, because in the moment of giving birth, she found her groove and prefers to stay on the squatting stool or her labor progresses quickly, and she needs to push before the tub is filled with water. Sometimes this means certain family members or friends aren’t present for the birth like originally intended because for example a mama is not laboring well with her kids present, they want to leave, or her best friend is sick and could not come to help.

Other times, when things don’t go as planned, this means a woman might need medical or surgical intervention. A common example: a mama is experiencing a hard back labor at home or free standing birth center, her baby persists in the posterior position, she is not progressing for hours despite trying everything and is exhausted; she is transferred to the hospital for Pitocin to augment her labor and the compassionate use of an epidural. A less common example is baby is not tolerating the labor, and is showing signs of worsening distress in any birth setting, and a cesarean is needed to save baby’s life.

Photo by Mary Elliott O'Haire

Photo by Mary Elliott O'Haire

Overall, we must surrender to the process of labor and birth and know that we are being guided and well cared for. To avoid needless suffering, we must embrace what comes our way that is not in our control, as what is meant to happen – because it is happening or did happen; and we can raise to the level of being grateful that we were given exactly what we needed for our benefit, what we each needed on our own journey as a soul temporarily living in a body, even if we do not understand the whys. I am not apologetic about my spiritual perspective and my firm belief that the infinite all powerful being, Spirit or G-d of our own understanding is pure goodness and love for each and everyone one of us.

I’d like to address a question I get asked frequently.

Art by Catie Atkinson @spiritysol

Art by Catie Atkinson @spiritysol

Why do I mention cesareans in my online posts?

Cesareans can be both planned and unplanned for serious complications or illness. In both cases, they are indeed a birth. They are a birth for baby, a birth for mom, a birth for dad, and a birth of a new family unit.

I want all women to feel lovingly supported and cared for however they birthed and that includes a cesarean.

Art by Catie Atkinson of @spiritysol.

Art by Catie Atkinson of @spiritysol.

I like to post information on what I refer to as a gentle cesarean. It’s still using a home birth model of care, with the principle of restoring humanity to maternity and newborn care – especially in the operating room. A gentle cesarean would include possibly pulling the curtain down, allowing the baby to birth itself gently through the incision, encouraging mom to receive her baby directly from the surgeon, hold her baby skin to skin, delayed cord clamping and early breastfeeding; it can also include allowing her partner, doula and anyone else she needs in the OR by her side.

I want to offer support to all women, and especially women who feel their birth did not go as planned. Although it’s rare for normal births to lead to complications or emergencies requiring life saving medical and surgical interventions, most births don’t go as initially planned.

Photo Credit: @albanydoula

What do I do when things don’t go as planned?

In general, healthy mamas with healthy pregnancies have healthy births. The stats on homebirth  and free standing birth center outcomes are excellent when there is a trained experienced midwife in attendance.

My transfer rate from home to hospital in labor is 7% and that is comparable to those of my colleagues. The vast majority of transfers are non-urgent. In most cases, it’s usually first time vaginal birthers whose labor stops progressing with exhaustion despite us trying every one of our "tricks" to remedy the situation. The need to call 911 and have an urgent ambulance transfer has been a handful of times in 20 years.

The midwife is of course there as a lifeguard - as rarely emergencies do occur. I bring the same emergency equipment and medications that any free-standing birth center has. Most of the time I don't use it and all is well. But when I need it, I have saved lives, as any seasoned midwife can say.

I saw much more catastrophic events when I was an OB nurse in the hospital. I have never lost a mother, but our country's maternal mortality rates are among the highest compared to most modernized countries, and this is largely from risky hospital interventions, which are not happening at home.

I have had to resuscitate significantly less babies at home – we have a screened healthy low risk population, are watching closely and WITH the mama in active labor. We do not intervene unless medically necessary and do not cut the umbilical cord until it stops pulsing or placenta is birthed, unless there is a problem or a request for lotus birth.

In 20 plus years of homebirth midwifery practice I have had to transfer 3 babies to the hospital who did not respond to resuscitation and needed intensive care due to unrelated complications, and this is significantly less than our country's high newborn morbidity and mortality rates.

Yes, we need to be prepared for and have to manage a rare shoulder dystocia (stuck shoulders) but it happens less as our mamas are laboring and birthing in positions that use gravity and maximize the diameter of the pelvis. Yes we have had to treat postpartum hemorrhage not responsive to natural remedies, with medication and IV fluids.

Not to offend animal lovers and vegans, but this moose provided a perfect home "IV pole" for a mama who needed intravenous fluids during her homebirth. Homebirth midwives must be creative.

Not to offend animal lovers and vegans, but this moose provided a perfect home "IV pole" for a mama who needed intravenous fluids during her homebirth. Homebirth midwives must be creative.

I do not convince anyone to have a homebirth as it needs to be each mama's decision. I do provide information so she can make an informed one. She needs to birth where she feels safe or she won't labor well. 

It is one of my passions and areas of expertise to help mama's with these sorts of questions. I offer online consulting for mama's just like you, whether a one hour discussion or a package of consultations and email access from pregnancy through postpartum – which is great for mamas who want and need more personal attention and guidance to a holistic midwife as they have no access to one in their area.

To really best help a mama make a decision unique to her situation - I recommend a conversation. This is not something simply answered on social media, without discussion.

If you want to schedule an online consultation, please go to my website:  - I look forward to connecting more and answering your personal questions.

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Check out my pregnancy herbal tonic recipe and some of my favorite supplements I recommend below, to augment a wholesome healthy diet, so you can meet the increased needs of your body and your growing baby.

 

Do you need supplements? Here are some of my favorite I recommend to mamas in my practice.

Make your Red Raspberry Leaf and Nettle herbal infusion.....rich in needed nutrients and specifically nourishing for pregnancy, birth and postpartum. Place 1 oz of dried red raspberry leaf, 1 oz of dried nettle leaf in a quart-sized glass canning jar with strainer, fill it with boiling water, cover and steep for at least 2 -4 hours at room temperature. Strain and place in a covered pitcher. You can make it in larger quantities and store in the fridge. For taste, dilute with water or steep for less time (but no less than half an hour), add lemon or lime juice, mint leaves or a teaspoon of honey. Drink 1-4 cups daily hot or cold.

10 Supplies to Rock Your Birth in Any Setting

1) THE BIRTH POOL IN A BOX  - a regular size is ideal, as it fits your support person and allows for complete immersion of your uterus for more freedom of moment, comfort, relaxation, and easier birthing.  It comes with repair patch kit, disposable liner and carrying bag. A smaller size is available, but I would recommend it only if space is an issue. An electric pump for inflatables   fills it up quickly and easily with air, and a submersible drain pump empties it after use. It is common to poop during pushing. To easily scoop the poop, get a fish net.   

Photo by Allison Lucienne Photography

Photo by Allison Lucienne Photography

2) REBOZZO  - a traditional Mexican fabric with multiple uses for pregnancy, birth and postpartum, from comforting and supporting you, to aiding in optimal positions for you and baby during labor and birth, to baby wearing. 

3) BIRTH BALL - is a wonderful ergonomic tool to support you in the most comfortable and ideal positions during the childbirth process. It can be used for exercise, and is great to sit or lean on during pregnancy; postpartum, it can be used to rock and calm a fussy baby.

4) SQUATTING STOOL  -  assists you in a supported squat for birth, going to the bathroom and sitting - the healthier way we used to sit before there were chairs; it prevents many ailments, and can also be used for potty training. 

5) NOW WALL CLOCK - to keep you focused only on the present moment, the only place you need to be during labor.

6) BLENDER WITH 16 OZ CUPS, COVER & STRAW PORT - for easy nutrient rich smoothies and hydration needed for laboring well.

7) THERAPEUTIC CORN FILLED HEATING PAD AND COLD PACK  - so soothing for areas of discomfort, and smells yummy when heated, 

8) ESSENTIAL OIL DIFFUSER WITH CHANGING LED LIGHTS - to distribute your favorite fragrance, and relaxing healing aromas and light to set your desired ambiance. You can try a delicious assortment of professional, therapeutic grade, 100% pure blend of essential oils for calm, romance, energy and uplift, clarity and focus.

Affirmation Art by Spirit Y Sol

Affirmation Art by Spirit Y Sol

9) POSITIVE and EMPOWERING AFFIRMATION CARDS - to hang in your birth setting to inspire you and remind you of your incredible, capacities as a woman. 

Affirmation Art by Spirit Y Sol

Affirmation Art by Spirit Y Sol

10) ELECTRIC CANDLES and STRING LIGHTS - for an lovely and enchanting environment in the hospital or birth center. In the home setting, you can use candles with care - I like the pure naturally scented pillars encased in glass for added safety and heavenly aroma. Himalayan natural crystal salt rock candle holders give a soft relaxing glow, are balancing and purifying; those can be filled with and tea light candles. 

PLUS - MAKE THREE PLAYLISTS: one with calming relaxing sounds, one with sensual soulful songs (like R & B)  that arouse you to tap into your sexual feminine self and slow dance alone or with your partner, and one with upbeat songs that create fun happy energy, make you want to move your hips and shake your booty or belly dance (like hip hop, funk, African, Latin, tribal, Indian/Arabian). I love a good waterproof and splash-proof portable wireless speaker for your smartphone or other devices. 

A more comprehensive list of oh so helpful supplies for your birth are listed in my Online Holistic Childbirth Course.

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

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Our Gentle Home Water Birth

Our baby’s birth is an answered prayer.

I was in great physical pain for days but, incredibly, there was never a doubt in my mind. I had faith that we could do it.

I was at home, surrounded by my family – the people who love me most, by caring midwives dedicated to give me a safe, gentle, positive birth experience, and a sweet lady who documented the whole thing in these beautiful photos.

VBAC - A Hot Topic

PHOTO CREDIT - THE UNISON PHOTO CNM

Correction - ACOG is the American College of Obstetricians and Gynecologists; ICAN is the International Cesarean Awareness Network

VIDEO IS NOW HOSTED ON MY LOVE YOUR BIRTH ONLINE COURSE

What is a VBAC?

A VBAC is a vaginal birth after cesarean.

If a woman has had a cesarean and wants to plan a vaginal birth for her next, it would be considered a VBAC.

Cesarean Surgery

Cesarean section is major abdominal surgery that involves serious potential risks for both a mother and her baby.

When medically necessary, it can be life-saving. I am very grateful for this. And it is still of course a birth to celebrate.

Unfortunately, cesareans have become so routine. I believe women are not given the opportunity to explore all their options and are not offered education and empowerment to have a vaginal delivery after a previous cesarean, other than a repeat cesarean birth, if that is their choice.

Statistically, the United States ranks among the highest in the world among cesarean rates. It’s approximately 30% and rising.

It’s as high as 40-50% in some areas near to where I live, and this is absolutely unacceptable.

Benefits of a VBAC

There are many benefits to a VBAC. These are physical, emotional, mental, and spiritual.

These are only a few important benefits on the long list:

  • No risks from major abdominal surgery. This is huge.  Unfortunately, a cesarean can lead to trauma to the internal organs or reproductive tract, risk of hemorrhage, complications with scar tissue, long term post operative pain, wound infection, blood clots, stroke, and possible respiratory problems for the baby. High rates of cesarean section contribute to high rates ofmorbidity and mortality – and this is occurring in modern countries such as the US, which ranks among the bottom of them in terms of outcome stats.

  • Easier postpartum healing and recovery.

  • Baby receives needed bacteria for optimal health, from mother when passing through the vaginal birth canal.

  • Breastfeeding may be more successful

  • No potential harm to future fertility.

  • Feeling more positive about the birth experience

  • Increased sense of empowerment.

  • More involvement of family and support people.

  • Less risk of postpartum depression and emotional birth trauma.

Image by midwife @lindseymeehleis after mama's triumphant and healing VBAC.

Image by midwife @lindseymeehleis after mama's triumphant and healing VBAC.

Major Health Care Regulators and Advisory Organization Support VBACS

Most major health care regulators and advisory organizations like the World Health Organization encourage VBACS.

“The World Health Organization recommends that the caesarean section rate should not be higher than 10% to 15%. According to the Society of Obstetricians and Gynecologists of Canada (SOGC), vaginal delivery represents the safest route for the fetus and newborn in the first and subsequent pregnancies” – World Health Organization website, http://www.who.int/bulletin/volumes/85/10/06-039289/en/ This is generous, as when cesarean section was originally implemented, it was intended to serve 5% of the birthing population – those with serious complications who really needed surgical intervention.

Also encouraging of VBACS are the American College of Obstetricians and Gynecologists (ACOG) (link to their website: http://www.acog.org/ , The National Guideline Clearinghouse https://www.guideline.gov/  ,  Agency for Healthcare Research and Quality, and the American College of Nurse Midwives

No words can describe this amazing mama's feelings after her VBAC, captured by @skyla_walton

No words can describe this amazing mama's feelings after her VBAC, captured by @skyla_walton

“The AAFP strongly recommends that clinicians inform women who have had a prior vaginal birth, either before or after a prior cesarean birth, that they have a high likelihood of VBAC. Unless there are specific contraindications to a vaginal birth, these women should be encouraged to plan a labor and VBAC and should be offered referral to clinicians and facilities capable of providing this service, if it is not available locally. (Quality of Evidence: High)” – Source: The National Guidelines Clearinghouse website https://www.guideline.gov/summaries/summary/49115/clinical-practice-guideline-planning-for-labor-and-vaginal-birth-after-cesarean?q=vbacs

In most cases, a VBAC is a safe option.

I share the opinion of many concerned with improving maternity care and reducing our rising rates of maternal and newborn death and serious health consequences from the interventions in childbirth, that a woman should not be forced to have a major surgery against her will, rather provided research and empowered to make her own decision, considering she is having a healthy pregnancy.

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AAOG removed the previous unreasonable restriction requiring immediate availability of a surgical staff for an emergency cesarean, as most hospitals around the country, let alone free standing birth centers and home settings, do not meet this criteria. Most hospitals are not able to have a surgical staff at all times and cannot perform an emergency cesarean in under 30 minutes.

Despite this, research is showing that far too many obstetricians do not offer VBACS. They routinely recommend repeat cesareans because they may fear law suits, succumb to scheduling pressures, have restrictive hospital or malpractice insurance policies, and/or feel pressured to uphold certain standards among their colleagues who are not supportive of VBAC. The hands of a midwife whose collaborative obstetrician and hospital do not support VBAC can often be unnecessarily tied as well for these reasons. Most repeat cesareans are not actually medically necessary, and are commonly recommended due to various non-medical reasons. This is very concerning.

What also concerns me is that the risks of a VBAC are magnified in conversation with women, while the risks of a repeat cesarean are downplayed, so women may feel forced, afraid and powerless.

I want women to feel like they have a voice.

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Some women who want to VBAC have limited options and local doctors in the area are only offering cesareans. Some feel they have no option other than having an unattended homebirth, or labor alone at home until the last minute without any monitoring, or not be truthful with their providers about their previous cesarean birth – all of which can increase the risks for her and her baby.

A trained and experienced midwife who is continuously with the woman in active labor, can detect concerning signs and symptoms before they can become a crisis, and she be transferred and treated in time to save her and her baby’s life and heath.  A midwife wears many hats, one of which is protecting the space so the natural process of birth can proceed with ease and grace, and another is a lifeguard – to know when and how to intervene to prevent problems or manage emergencies.  There are many wonderful obstetricians supportive of VBAC who have this training and style of practice as well; they are just harder to find.

What are the chances of having a successful VBAC and who is a good candidate for a VBAC?

The stats range that 60-80% of women, who have had previous cesareans, are candidates for a successful VBAC. In actuality, most healthy pregnant women carrying healthy babies are candidates.

The chances of a successful VBAC are higher if a woman is using a midwife, even higher in free standing birthing centers and home settings.

Above photos of rockstar mama's VBAC are by @karinariveraphotographer

Above photos of rockstar mama's VBAC are by @karinariveraphotographer

Going to a hospital and working with an OB/GYN with high cesarean rates, will increase the likelihood that a woman will have another cesarean.

In some hospitals, there are a lot of restrictive procedures, like continuous electronic fetal monitoring, confining a laboring woman to lay in bed, not allowing her to eat or drink, routine IVs and time limits, which increase the risk of a cesarean.

What is the main risk of a VBAC?

The risk of separation of the prior uterine scar is approximately 2 in 1000 VBACs, but often it is a mild superficial dehiscence (slight separation of some layers of the surgical wound) that has no clinical significance and does not impact the health of mom or baby. The risk of severe life-threatening emergency from a partial or complete uterine rupture of all the scar layers is significantly lower – a highly unlikely occurrence, significantly less than 1 %.  The main risk is of a VBAC is this rare catastrophic rupture of the previous uterine incision. This rare total disruption of the uterine scar risks both the mother and her baby, and can lead to catastrophic outcomes. It cannot be ignored and must be monitored for appropriately; but it cannot be exaggerated or make the risk of repeat cesarean less alarming.

Although every decision has risks, a VBAC is a reasonable, appropriate and safe option. If a woman panning a VBAC decides to give birth at home, I highly recommend working with a well trained and experienced midwife and consider the distance to a hospital (30 minutes or less driving time is ideal).

There are risks and benefits to every kind of birth and in every setting. I provide women with evidence based information, encourage each family to dig deep and look at the pros and cons to having a VBAC in a hospital setting, free standing birthing center or home, vs a routine cesarean and have informed consent for her birth.

Are there benefits to a cesarean?

A planned cesarean is in a controlled environment, and some women find great comfort in that knowing. Perhaps a woman has had a previous traumatic, long labor the first time and they just don’t want to go through that experience again. Some women are very anxious about that and they just feel safer knowing they will have another cesarean.

I take that seriously, because she won’t labor well if she doesn’t feel safe.

Like I mentioned before, the serious risks for a VBAC can be often prevented, treated or transferred to surgical care in time, with a skilled midwife or obstetrician who is attending to the laboring women, aware and mindful of the symptoms that lead up to that.

Thankfully some hospitals are now at least allowing more time for baby to get the cord blood from the placenta, skin to skin bonding, and her partner or main support person in the operating room. Some hospitals and providers are performing “gentle cesareans” – cesareans that are family and woman centered, and try to provide the environment of a natural birth as much as possible. This is a wonderful attempt to restore humanity to birthing in the operating room.

Last tips:

If a woman knows she wants to have another baby, I would start with research and education. Ask yourself: “What do I want and why?”

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A woman should get the support she needs. Most women who have had a prior cesarean have issues they need to discuss. There are therapists who specialize in this.  One of my dedications and areas of expertise is creating space so a mom can debrief, process and heal from her previous upsetting or traumatic birth experience, as well as plan for a better one next time around. Schedule a consult with me here. http://homesweethomebirth.com/chat-with-anne/.

I tell mamas to do what they can to educate and empower themselves, and know they do have a voice, build their circle of support, and include in their birth team advocates to speak for them when they are in the heat of labor. I tell them to prepare for a vaginal birth. The mind, body, heart and spirit can prepare for a vaginal birth - and a deeply positive, beautiful and empowering one. This is one of my passions and main focus of my online childbirth course.

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PHOTO CREDIT – THE UNISON PHOTO

A woman is more likely to have a vaginal birth if she has a natural birth. Although this is not in all cases, a woman who is educated, empowered and prepared for a natural birth has a greater chance for having one.

Things a woman can do to prepare for a vaginal birth:

  • Take an excellent childbirth course! My online LOVE YOUR BIRTH course is available here. 

  • Check out www.vbacfinder.com to find VBAC rates for local hospitals.

  • Check out ICAN (http://www.ican-online.org) for more information; seek out VBAC groups in your community, on Instagram and on Facebook, to connect with other women who have had successful VBACS.

  • Watch movies of women who have had VBACS… inspiring stories of healing, beauty and empowerment.

  • Create your tribe, in your pregnancy, of like minded women who have gone through what you’re going through.

  • Interview providers, and choose one that aligns with you the most – one that has high rates of VBAC and low rates of repeat cesarean. It is very important to ask them their rates, and if you are planning a hospital birth, research the hospital rates here (link to http://www.cesareanrates.org/2015/01/what-is-my-hospitals-cesarean-rate.html

     Most midwives, especially those who practice out of hospital settings, have the highest rates of VBAC and the lowest rate of repeat cesarean, but plenty of hospital midwives and obstetricians have similar stats – they just may take some work on your part to seek them out.

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I also recommend hiring an awesome doula, as those who have a doula are less likely to have a cesarean.

A doula is amazing because they offer the mothering comfort and support that our ancestors had.  When women would give birth in their tribe or village, and they were surrounded by mothers, aunts, sisters, grandmothers, and the other women of their community, they received that mothering support by women who were comfortable with birth and relaxed around it. Fear has no place in birth, and a doula provides needed calm and loving support.

Lastly, I recommend drawing and journaling , mediation and visualization – which tap more deeply into her intuitive self. A woman can imagine how she’d do it differently or what she wants for herself. And she can face her fears head on, which often lessens them, or she can be with them and plow forward with courage in spite of them.

Remember, In the end it’s not in our control, and we let go and surrender,

If you do all of these things and end up having a cesarean, it’s not a failure. There is no failure in birth. It is a birth, a belly birth, and it’s the birth of your baby and you as a mother. It is the birth of your family and your partner as a parent. Stay present, stay involved and keep a positive mindset. Focus on the blessing, that you did all that you could, and thankful for modern medicine, which saved you and your baby’s life and preserved health. Also, you can ask for a gentle cesarean, which restores humanity to the operating room by doing such things as allowing your support people in with you, enabling baby to emerge from the incision simulating as much as possible a vaginal birth to help baby clear his/her own lungs, enabling you to participate by lowering the drapes so you can see your birth, giving you sterile gloves to receive your baby, delaying the umbilical cord clamping so baby can benefit from the cord blood, encouraging immediate skin to skin bonding and early breastfeeding.  

Image by angiebeehotz

Image by angiebeehotz

Healing can occur afterwards, and may take time and lots of support. But there is no place for shame and negative self judgement here.

Image by Megan Hancock Photography

Image by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma, planning a VBAC

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are intending to birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams, ROCK your VBAC

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Some other resources:

In the end, how a woman births is her personal decision and the more informed she is and empowered to play a large role, the greater the likelihood is she will have a positive birth experience.