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Jacksonville Doula

VBAC Chat

     When a birthing client has a cesarean section and falls pregnant again, they have two choices. Another elective cesarean, or a VBAC (vaginal birth after cesarean). Both carry their own risks and benefits, but one is played up to be this huge and risky ordeal. It's no surprise that vaginal birth after cesarean (VBAC) is met with profound opposition and is often even shunned by OB's and Hospitals. If you ask your OB why this is, typically, they will say the risks of uterine rupture, placenta accreta, maternal morbidity, and infant death outweigh the benefits. Well, my lovely readers, I want to help settle some of those fears. Let's begin, shall we?!

You are probably a candidate- That's right my friend, you are probably a candidate for VBAC! Roughly, 90% of those who have had cesarean sections are a good candidate for a VBAC. Of course, there are some instances where It wouldn't be a good decision. You should have a low transverse uterine incision and not have had any prior uterine surgeries that have caused scarring. Bottom line, even ACOG says that VBAC is "safe and appropriate for most woman".

Cesarean sections are just as risky- Obviously, we all know that there are risks with cesareans. But did you know that your chances of maternal morbidity more than triples when you go into that OR (operating room). Other risksare placenta accreta, hysterectomy and blood loss - the same as VBAC. I bet your provider and hospital didn't tell you that when you were talking about your options! Still, cesarean rates are a whopping 32.8% That doesn't make much sense, does it?

Uterine Rupture- Ahhh, the go to scare tactic when discussing VBACS. Now, don't get me wrong, UR (uterine rupture) is a real worry, But it's less of a worry than you'd think. UR results in. 2% of laboring mothers with no augmentation (intervention) and 6% of that .2% end up in infant death or brain damage. That's 1 in every 26,000! Even then, lets say UR occurs, the OB and hospital staff have 15 minutes to prep you and take you in for an emergency cesarean. Despite what you may think, 15 minutes is a lot of time in the hospital world.

 

 Before we move on to the next part of my blog, lets compare. .2% of VBAC moms end up with a uterine rupture and repeat cesareans more than triple the risk of maternal death. Which would you be more frightened of?

 

I also wanted to dedicate a section of this particular blog post to providers.. Why, you may ask? Because they can either make or break this decision. It is I-M-P-E-R-A-T-I-V-E to find a provider who is VBAC friendly, not just VBAC tolerant. If your provider says "Okay, we can try", "Okay, But we are going to opt for a c-section if", then they are not VBAC friendly. Find a provider who won't wheel you into the OR if you are 40+ weeks with no "progress" (what does that mean, anyway!?) Find one who isn't going to put a time limit on your birth.

You deserve to have this, if you want it (within reason, of course). I'm not saying that if there is a medical emergency to not let them do what they need to. I'm saying that you need to be supported and to be able to relax and not feel rushed. Cuz' guess what happens when you are stressed and feel rushed? You stall, clinch, and make your birth that much harder.

Another fib birthing family hears when attempting a VBAC is "we aren't equipped to handle an emergency during a VBAC." Newsflash, if a hospital has the means to handle an emergency cesarean, they have the means to handle a VBAC. It's just as simple as that.

 

I am not here to push you into a VBAC or cesarean. Ultimately, this is your birth and you are going to make the best decision for you and your family. There is no right or wrong way, only YOUR way. As a doula, it's my job to give you the cold, hard truth and to help educate you during this amazing time. I hope that you see VBACs in a new light and perhaps don't find them as frightening.

 

Looking for a doula for your VBAC or Cesarean? Contact me so that we can chat about your birth goals.

 

 

 

 

 

 

 

 

 

 

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Here Is Why You Shouldnt Discredit That New Doula.

      Recently, I met with a wonderful family that was eager to meet their new baby. They were in the market for a Doula, so we met to see if we were the right fit for each other. Whether you are using my placenta encapsulation services or birth Doula services, I always have the same question. "What qualities are you looking for in your Doula/PE Specialist". This allows me to really see if we are a good fit for each other. Will we mesh well or would a family benefit from another reputable Doula in the area? I had asked this question to the partner, first. His response was"I want a Doula who has been to a ton of births and has seen everything!" I sat back and listened to what he had to say and we ventured off onto other topics. After arriving back home, what he said really resonated with me. I have decided to tell you all of the reasons that you SHOULD hire a newer Doula, instead of immediately overlooking them.

NEWER DOULAS ARE TRAINED: Every trained Doula puts their heart and soul into their training. They all go through hours of work shops, write essays, learn the language and attend certifying births. We all learn the same techniques and coping mechanisms as Susan from so and so. Trust that newer Doula because she knows her stuff, because she spent hours researching it and learning about it.

THEY ARE HUNGRY AND EAGER: After all of that training they are so eager to get started that they are going to be so gun-ho about your birth wishes. That new Doula is going to be just as excited about this birth as you are...How special is that?! This is not to say that a more seasoned Doula wouldn't be, but I'm sure all Doulas can attest to those first few amazing births.

FLEXIBLE SCHEDULES: Since newly trained Doulas are building their baby business, they may have more time to dedicate to those first few families. How does this benefit you? They are more likely to be there a bit faster and have less time constraints. Need a bit more birth education? She's got you covered!

 NO ONE HAS SEEN EVERYTHING: I could scream this from the rooftops if I could, guys... There is not one Doula on the face of this earth that has seen everything. A Doula that has attended 200+ Births may not have seen something that a Doula of 2 births has. No woman, vagina,uterus,cervix, and baby is the same. Just because someone has been in the baby game for 10 years, doesn't mean they are "better", they have just had a bit more experience.

   Listen, Guys... I am not trying to deter you from a seasoned Doula. What I am trying to do is open your eyes so that you can see the positives in a newly trained birth worker. Every family has their own preferences, and that's fine. All I ask is that you meet with that newer Doula to see if you mesh well. Ask them why they got into this field and really give them a shot, because all she wants to do is empower you on this beautiful birthing journey.