Having a VBAC or Vaginal Birth After Cesarean?
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Having a VBAC or Vaginal Birth After Cesarean?


If I want to push a baby
out my vagina. I can. That’s true….True Hi.
Welcome to our channel. If you would like to see more videos
like subscribe and hit the bell. Today we’re going to be talking
about vaginal birth after cesarean. We’ve had some requests from some of
our subscribers and so today that’s what we’re doing. Today’s the day. Today’s
the day you’ve all been waiting for. You asked for it and
you’re going to get it. We want to kind of tackle that a
little bit about what that looks like, what the risks are, how
you can accomplish that, and who will allow you to do that
and I hate that word allow so much. Allow I hate that word ooh that word is so triggering triggering
ugh every time I hear that word I get triggered TRIGGERED…I even
Hate the word triggered. The word trigger, triggers me. VBAC’s. or HBAC’s That is a vaginal birth after a
cesarean or a home birth after cesarean. In all honesty, we have a really high cesarean rate here
and I’m sure there are a lot of other States that have a high cesarean rate, Because the United States in
general has a high cesarean rate So if you look at the world
health organization, they say about I think 15% of the
time there should be some type of intervention. They don’t even
specify it should be cesarean, but they do specify that there
should be some type of intervention. and so there’s some reasons why we see
a high rate of cesarean and that is a high induction rates. Prenatally, we make suggestions to diet and
lifestyle and changes that they make. And I just don’t think that they’re doing
that in the doctor’s office anymore, which is really discouraging. Like if you have an individual who has
like elevated blood pressures you or you know, something like that instead of talking
to them about diet lifestyle immediately or this induction cesarean.
And so I think that’s like, I think it’s just really hard to have a
baby without that genuinely being on the table that you could potentially have
a surgical delivery. And I’m not, we’re not saying anything is
wrong with the surgical delivery. We would just like to see it happen
less and only when medically necessary. Yes. And with, with individuals who
are laboring with their consent, allowing them to be
apport of thet decision. There is a website that you can go to
and you can find out what your local hospitals cesarean rates
are. What happens is, is for a lot of years is women would get
us to cesarean and then they were told that they had to have a repeat cesarean. So some women never even got another
trial labor or they just got several cesareans, but there is risks that comes
with that it’s major abdominal surgery. It’s not something that should be your
go to… and if you are doing it several times. Like if you want to have four
children, like that should not be. So what ACOG stated is that a woman after, cesarean should have the opportunity
to have a vaginal delivery. It says a trial of labor after
Cesarean first with child labor, trial of labor, which is kind of half
baked, but whatever… Now what our hospitals have
done here is hired laborists And so all of our hospitals, every
single one of them has uh, uh, an OB GYN OB. We have
laborous in the hospital that, are there all the time and so women can
come in and laboring as it be back and comfortability. Why would the medical field be so worried
and concerned about an individual who was attempting to have a
vaginal birth after a cesarean? big…the big scare, the big
big one is uterine rupture. That’s what they’re really
scared of… Right… However it happens like less than 2%, than 2%. Its .087 It’s crazy as I’ve heard of
women having uterine ruptures who’ve never even had a cesarean. So like it’s
just crazy to me. I want to be like, there is risk with some of these things
when you’re introducing things like Pitocin, breaking waters. Yeah. Well That’s the thing like when
you add in more intervention, like when you add in Pitocin
that makes contractions stronger, you’re going to see uterine
ruptures more often. Well and they’re just crazy to me cause
there are physicians here that require a client to be induced so that they can
monitor their labor and they require like an internal monitor or they
require, and IOUPC. Yep. And what’s annoying about that is they’re
introducing Pitocin and they’re not really talking about that increased
risk that comes with that intervention. They just redid the numbers, at least the new numbers and it was
0.87 so it’s not even at 1% for first attempt of labor after cesarean I think
it was a little over 1% after the second one. So we’re talking about
such a small risk to begin with, but I think it was close to 4% once
you introduced Pitocin. Correct. Yeah cause it doubled
that. So there’s risk. Anytime you’re doing any
kind of intervention, you have some options. It’s true.
One is hire a home birth midwife, probably your Best option because . Home Birth midwives support it like 100%
we have seen them happen time and time again. If we leave the body alone
and allow it to go into labor, we have seen it. And so to me that’s my number one thing
would be VBAC’s as a allowing them to go into labor on their own. which is sometimes the reason why
they had one to begin with, right, because they were induced. And so I think if we allow individuals
and then we trust kind of that process and we know what to look for, I think that home birth midwives
know what normal looks like. We’re good at that. I kind of pride myself in knowing what
normal looks like and its ability to determine when something
becomes super powered. Normalcy. Option 2 interview care providers
that hospital do Hospital deliveries. And so by interviewing them and knowing
what kind of questions to ask… Sarah, what kind of questions would
you recommend that somebody ask? Knowing what the prerequisites
for getting one is like, am I allowed to go past my due date? Am I going to need and an IUPC, which is an intrauterine
pressure catheter. Do I have
to have my water broken? Like what are the stipulations? Yeah, in order to what is actually What
dose the find print actually say I’m I allowed to be induced? I’m i not allow them to be induced is
sometimes they’ll say, well, you know, you’re not allowed to be induced.
We’re not comfortable with Pitocin, but if you go past your due date,
that means an automatic section. Make sure that you are in a relationship
where you feel like they truly want to see you accomplish that goal. There’s nothing worse than having a mom
come to me at like 37 38 sometimes 39 weeks going. My doctor said I could have a be back but
today at my appointment he has decided that I can’t if I don’t
have a baby like tomorrow. And another aspect that can help you
if you wanted to attend the hospital delivery and how it would be
back is to hire you a Doula. Tori do You want to tell them what to do. Doula is a person who is there
for your physical comfort, emotional and educational support. What a Doula would do was they would
help you be able to labor at home for a little while and go to the hospital you
felt comfortable doing and that they’re to answer questions and answer questions. They have good evidence based
information on the VBAC’s. There is an organization called ICAN
which is the international cesarean awareness network. We
will link that down below. And there’s a lot of really great
studies, information, resources. Cause I do feel like sometimes we go
into the hospital and I get clients who maybe it’s a doula client typically,
um, who is trying for a VBAC. And one nurse will be like, Oh, it’s policy that you have to have an
epidural placed in order to have a VBAC. And then the next year she’ll
be like, no, that’s not true. So I think going in with
like a confidence, know
what you’re talking about. Know the risks, know the benefits so that you can be
your own advocate and you can kind of say like, no, I don’t need an
epidural. No, I don’t need this. This is what the evidence says. And be that advocate for yourself or
make it your partner’s job to be that advocate or have conversations with your
doula and how that relationship works as well. But I think even more
importantly, that confidence, having that for yourself. Because I so many times have like
a feedback client come in and go, I think I might want this. And to me that’s really hard because
it’s all about like your ability to think that you’re capable of doing
something with that helps you do that. And I think that’s one of the lovely
things about Midwifery carers we get to spend so much
more time with our clients, but there’s a lot of processing that
takes place and potential healing from the trauma of the first. Some
women that I hear from, some of their biggest regrets of
the cesarian is that separation from their own baby. And so breastfeeding took longer or
bonding them and talk about to call. So I think that confidence
has to happen both ways. It has to happen for you in the hospital
so that you can know what questions to ask them if you’re ready to
defend yourself with you. But I think you also have to have the
desire to know that this is something that you know you want. How you can get
that confidence is visiting websites, surrounding yourself by individuals who
are positive and supportive and know that you’re able to do that. And that’s why I think interviewing
to have a real kind of authentic conversation with a care provider and
finding out not even just the specifics that come with having what,
what their policies are, but what do they feel about them?
Do you know what I mean? Like, yeah, cause if you go in and the
doctor’s like, well okay, I guess I’ll let you have a be
bad. Like it’s probably not. But if you get a doctor who’s like,
Oh yeah, I do be backs all the time. I a I trust women’s bodies to
do that. You, that’s is okay. And there’s a difference in that
care that you’re gonna want to see. I highly recommend, no matter how many numbers of Syrians
that you’ve had that you interview midwife, even if it’s just an individual who would
love and support you as you are going to going through your pregnancy and
exploring your options in your choices. Because even if we were to not
be comfortable taking that on, we certainly would support
you and visit what, what your options are and healing from
what that is and making that a more positive experience. And how can we, even if we go into and have a repeat, maybe it’s that we get that skin to skin
or gap that we requested some different aspects that’s nowadays they’re
here like clear air drapes. Yeah. Even if you are opting for a repeats
area and because you’re high risk, I think that a midwife could certainly
play a really big role or doula to kind of help women feel supported because
some, some women have no choice. They’re too high risk in that they have
to have as a repeats and so that’s what our job is, is [inaudible]
risking individuals outs
with fee per low risk women. And right now we definitely consider,
I’m going after once a Syrian, a lowers and clients. Honestly, I believe that the data supports
that supports that statement. It’s only after two, three or
we kind of start, you know, I’m going to have to feel
really good about those choices. Don’t be afraid to ask questions and
you may or may not find somebody in the community that will support that. But I want you to feel like
your in control and you can
find a care for my knee, supports you in your traces. So
if you have any further questions, please don’t hesitate post them down
below because we do go on and monitor and ask questions. That is it for
us. Um, if you liked this video, hit like subscribe. If you have had
a VBAC, share with us down below. What has helped you feel like you
had a successful be bad entire story. Actually in general, like if you
didn’t have a successful VBAC, we love to hear from you and what could
have been better and could, if could, you know, could it be communication
or share your story down below. We’d love to hear from, um, individuals who are trying to make choices
where they’re taking back their own power shared out below. We’ll go and we’ll find you and we’ll
talk to you online and we’ll be unlike friends. We’ll be besties, besties, ring Tori’s bell. Let’s go a show tonight. No, I need sleep woman. I need please. I’m empowered. I have vagina’s
been empowered speaking to me. One. What do you want to push a baby? I feel like I need a water
break. Where’s my assistant? I didn’t assist it on the set. It just
felt like my, I won’t stop twitching. I feel like we’re talking about some
like stuff. You know? We do. We on Adobe. Do I on [inaudible]? Oh
yeah, we were filming. We’re tired. We went to lots of
birds. We went to a lot of authentic. We tired right now. I am real,
real tired. Sarah might’ve got, did you get very much sleep? I
ran a little bit, but she got, when we put Keith though.

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