Planning Your VBAC – Where to Begin
Sweet Pea Births - ...celebrating every sweet pea and their birth
RSS Follow Become a Fan

Delivered by FeedBurner


Recent Posts

In Their Own Words: Erica ~ Part 2
In Their Own Words: Erica ~ Part 1
In Their Own Words: Katie
Monday Mantra: Wonder Woman SuperPower
In Their Own Words: Amy

Most Popular Posts

An Inside Look: Modern Mommy Boutique
Breastfeeding Support Groups: La Leche League
A Look At the honest company
An Inside Look: Placenta Encapsulation
Mommy-Con Phoenix Ticket Giveaway

Categories

Acupuncture
Affirmation
Allergies
Amniotomy
AROM
Artifical Rupture of Membranes
Ask the Doula
Augmentation
Avoiding harmful substances
Baby
Baby blues
Baby Concierge
Baby games
Baby-led weaning
Babymoon
Babywearing
Back Labor
Bag of Waters
Bedtime Routine
Belly Cast
Berman's Law
Big Latch On
Birth
Birth center
Birth Centers Phoenix AZ area
Birth Circle
Birth Mantra
Birth News
Birth place options
Birth plans
Birth Story
Birth Story Listening
Birthing From Within
Blog Carnival
BLW
Bradley Day Family Picnic
Bradley Method®
Bradley Method® birth story
Bradley Method® for next baby
Bradley Method® for second pregnancy
Bradley Method® outcome
Bradley® Coaches
Bradley® Dads
Bradley™ classes and the next baby
Bradley™ classes for next pregnancy
Bradley™ classes for second pregnancy
Breast Pumps
Breast Pumps and Workplace
Breastfeeding
Breastfeeding 101
Breastfeeding Awareness Month
Breastfeeding Challenges
Breastfeeding in Public
Breastfeeding support
Breech presentation
Breech turning techniques
Cassandra Okamoto
Cephalo-Pelvic Disproportion
Cesarean Birth
Cesarean Support Group
Cesarean Surgery
Child Spacing
Childcare
Children's Books
Chiropractic Care
CIO
Circumcision
Co Sleeping
Coaches
Coaching
Coach's Corner
Comfort Measures
Communication
Contest
Cord Clamping
CPD
Cry It Out
Crying
Dairy Allergy
Debbie Gillespie, IBCLC, RLC
Dehydration and Pregnancy
Delayed Cord Clamping
Depression
Doulas
Drinking during labor
Due Date
Eating during labor
Eclampsia
ECV
Engorgement
Epidural
Episiotomy
Essential Oils
Exercise
External Cephalic Version
Eye Drops
Eye Ointment
Eye Prophylaxis
Failure to Progress
Family Bed
Family Fest
Family Fun
Fear-Tension-Pain Cycle
Fertility
Fetal Distress
First Birthday
First Foods for baby
First stage labor
First Trimester
Flower Essences
Fluid Retention
FTP
Full term
Fussy baby
Galactogogues
Gestational Diabetes
Giveaway
Going to your birthplace
Gowning
Green Nursery
Grief Counseling and Support Services
Healing
Healthy, Low-Risk
Hearing Screen
Heat Comfort Measures
Herbalist
Homebirth
Hospital Birth
Hyperemesis Gravidarum
Hyperthermia and Pregnancy
IBCLC
Immediate Cord Clamping
In Their Own Words
Increase Breastmilk
Induction
Induction of Labor
Infant Care
Infant Classes
Infections and Pregnancy
Info Sheet
Information Center
Information Sheet
Informed Consent
Inside Look
Jaundice
La Leche League
Labor Augmentation
Labor Induction
Labor Marathon
Labor Sprint
Labor Support
Lactation Consult
Lactation Consultation
Lactivist
Managing or coping with natural labor
Mantra
Maternity Keepsake
Meditation
Meet the Doula
Membranes
Midwife
Midwifery Care
Midwifery Scope of Practice Committee
Milk Supply
Miscarriage or Stillbirth
Modern Mommy Boutique
Mommy-Con
Monday Mantra
Monitrice
Morning Sickness
NAP
Natural Alignment Plateau
Natural birth
natural labor coping mechanisms
Natural labor coping techniques
Nausea
Neonatal Eye Drops
Neonatal Eye Ointment
Neonatal Eye Prophylaxis
Newborn
Newborn Care
Newborn jaundice
Newborn Procedures
Next baby
Next pregnancy
NICU
NIP
NPO
Nursery
Nursing
Nursing and Maternity Bras
Nursing In Public
Nursing Strike
Nutrition
Obstetrical Care
Oxytocin
Pain
Pain management
Pain management natural labor
Parenting
Past due date
Patient Bill of Rights
Perineum
Phoenix Mommy-Con Mini
Photographer
Placenta
Placenta Encapsulation
Planning for Baby
Playing with baby
Postdate
Postmature baby
Postpartum
Postpartum Depression
Postpartum Doula
Postpartum Plan
Pre-eclampsia
Preemies
Pregnancy
Pregnancy Loss
Premature Baby
Premature Ruptture of Membranes
Pre-term Labor
Prolonged Labor
PROM
Q&A with SPB
Rally to Improve Birth
Relaxation
Relaxation practice
Repeat Bradley™ classes
Rights for Homebirth
ROM
RSV
Rupture of Membranes
Scavenger Hunt
Second Stage Labor
Sensory games
Sibling Preparation for Newborn Arrival
Sleep Sharing
Sling
Soft-structured carrier
Starting Solids
Stripping Membranes
Support Groups
Sweeping Membranes
Sweet Pea Births
Swelling in Pregnancy
Tandem Nursing
Teething
The Bradley Method®
The Bradley Method® classes
The Bradley Method® pain management
Third Trimester
Thoughtful Thursday
Tongue Tie
Tongue Tie Procedure
Toxins, pesticides, chemicals and pregnancy
Traditions
Transition
Twins
Upcoming Events
Use of vacuum extraction
Uterine Rupture
Vaccines
Vaginal Birth After Cesarean
Vaginal Birth After Multiple Cesareans
Variations and Complications
VBAC
Vitamin K
Warning Labels
Waterbirth
WBW2013
Weaning
Webster Protocol
Weekend Activities
Why we chose the Bradley Method® childbirth classes
Wordless Wednesday
World Breastfeeding Week
Wrap
powered by

Sweet Peas, Pods & Papas: All About Birth, B@@bs & Babies

Planning Your VBAC – Where to Begin

I open today's post with the reminder that April is Cesarean Awareness Month. The World Health Organization and evidence-based practice only supports a cesarean rate of 15% or less.

While a cesarean birth can be life saving and necessary, and we are so grateful for the technology when our students need this intervention, we encourage you to know the difference between a variation and complication. Is Mom okay? Is Baby okay? If yes to both questions, asking for time can spare both Mom and Baby from an "unnecesarean". 

The current cesarean rate in the US is around 32-33%, so our wish at Sweet Pea Births is that by raising awareness, only the necessary cesareans are performed, and that over time we see our national cesarean rate back down to at or under 15%.

If a VBAC is not an option you want to explore, I encourage you to explore the ideas and additional readings HERE to learn more about a family-centered cesarean that may be a gentler experience for both mother and baby.  With time and planning with your care provider, these are possible and a beautiful option for families that want and/or need a repeat cesarean.

On to the topic:  Where do you begin if you want to plan for a Vaginal Birth After Cesarean?  

These notes are from an ICAN meeting presented by ICAN of Phoenix chapter leaders Stephanie Stanley and Jessica Franks on January 23, 2013, hence they get the author by-line on this one.  Thank you, ladies, for your constant support of the cesarean community in the Phoenix area.  Here are the steps that Stephanie and Jessica identified in hindsight of their VBAC journeys.

Step 1:  Find a supportive care provider
Your options for finding a supportive care provider in Arizona include an obstetrician in a hospital setting, a Certified Nurse-Midwife in a hospital setting, and Naturopathic Doctor who also holds a Certified Professional Midwife license in a home setting.  In addition, you an interview at Women’s Birth and Wellness Center in Mesa, Arizona, to see if you are a candidate for a VBAC at their birth center.  If you are in the Phoenix area, you can check the ICAN Phoenix provider list HERE to see which care providers have been supportive as per first-hand experience from VBAC mothers.

Step 2: How do I know if someone is truly supportive?
The only way to really know if a care provider is going to go along with your choice for a trial of labor that you hope is going to lead to a vaginal birth is the interview them.  Schedule an appointment with them and meet them face-to-face.  Here are some questions you can ask – you want to keep them open-ended so that you hear their spontaneous answer.
  • How do you feel about letting a VBAC mom go to forty-two (42) weeks gestation?
  • How do you feel about natural birth?
  • What are specific protocols and what is the timeline you follow with a VBAC mother?
  • Which pushing position do you support when a mom is attempting a VBAC?
  • How do you feel about doulas in the labor and delivery space?
  • What are my options if I should need a repeat cesarean?
  It is important to get out of the mindset that the obstetrician or care provider as the authority over you.  You are the consumer.  You are hiring a person to care for you and your baby.  A big red flag warning is the statement, “Well, we’ll deal with that when we come to that.”  That usually means that, “When we get there, we are doing it my way,” so consider it a sign that it may be time to move on to the next person on your list.
Step 3: Be Healthy, Starting Now
Your nutrition is vital to your health, your pregnancy, your baby and your birth.  Maintain a healthy diet and exercise on a regular basis.

Krystyna’s note:  A comprehensive childbirth education class, like The Bradley Method®, prepares mothers over the course of the twelve week series to eat well to build a strong body and a strong baby, and we have a pregnancy exercise program that builds stamina as well as the three major muscle groups that support pregnancy and labor: Back, Belly, and Bottom.

Step 4: Mental Health
Your mental health plays a significant role in your pregnancy and birth.
A childbirth preparation course can educate you on the course of labor so that there are *less* surprises – all labors have an unknown factor and you can’t be “completely” prepared.
  • Work through any fears you had going into your last birth, or that have arisen as a result of your previous birth.
  • Strive to reduce stress and tension in your daily life.
  • Surround yourself with supportive, positive, and helpful people.
  • Be honest with yourself and with your partner – you need to address how both of you are feeling in regards to your past birth and the preparations for a VBAC.
  • Identify what your needs are, and what needs to be addressed.  Do the same for your partner.
  • Evaluate your mindset: are you going to go along with what your doctor tells you to do, or are you going to educate yourselves as a team so that you can make informed decisions?

Step 5: Take A Childbirth Education ClassThere are several options for birthing families these days.  Here are some of the classes mentioned in the meeting:
  • Birthing From Within
  • The Bradley Method®
  • Hypnobirthing: might work better if you have a yoga background
  • Hypnobabies: some consider it a more “user-friendly” version of Hypnobirthing
  • Private Comprehensive Class taught by a doula or independent childbirth educator

Krystyna's Note:  The Bradley Method® is fabulous as a comprehensive preparation course. You can click HERE to see what is taught through the  course of the 12-week series.  However, we do not do anything in-depth to address any past birth trauma or fears that you may be bringing to the birth space.  If you are interested in The Bradley Method®, please contact me to discuss some additional resources I recommend for VBAC couples enrolled in our course.

Step 6:  Plan To Hire A Doula
Doulas are an essential part of your birth plan.  A doula is a woman whose only role is to support a family through their labor, birth and the choices they want for their birth.  They may offer ideas for labor positions, moral support and hands-on help, among other things.  Typically people hire their doula between 24-30 weeks.  There is no “right time” to hire a doula, so even if you are earlier or later than this window, you can make phone calls and find the right person to support you and your partner through your birth experience.  Some insurance companies cover the doula fee, so call them and ask!
Step 7:  Get Family Support
The support of the people closet in regards to your decision to VBAC is very important. 
  • Educate your family – invite them to come along to a cesarean support group meeting, such as ICAN.
  • Honestly express why this is important and what led you to this decision.
  • Understand that if something or someone is not helpful, supportive or positive, then it or they do not need to be a part of your birth.

Krystyna’s Note: My favorite line of conversation I have heard at an ICAN meeting, and that I know share with our students in regards to birth choices is this: 
“I have taken the time to educate myself and make the right choice for our family.  Do you really think that I would make a choice to intentionally harm myself, or our child?  If we cannot come to an understanding, or at least agree to disagree, this topic is off the table and no longer up for discussion.”


Step 8: Educate Yourself
Knowing the facts about VBAC will give you more confidence in your decision, as well as prepare you to educate those who may question the safety of your decision.
  • Read, read, read.
  • Read positive VBAC birth stories
  • Talk with your care provider – know their VBAC numbers
  • Ask questions and research the information you are finding

 Step 9:  From a Birth Plan
A birth plan is a great way to organize and prepare your goals.  It is a tool to help you articulate the vision you have for this birth.  Birth plans are typically written around 30 weeks, but there is no “right time” to write a birth plan.
  • Write your VBAC plan
  • Consider writing your cesarean birth plan
  • Talk with your care provider about your birth plan.  If your care provider is not on board, talk with them to explore if there is a way to make it workable.  What are your absolutes, and are your communicating them effectively?
If you are absolutely confident that other care providers have supported the choices you are making, then it may be time to interview other care providers.

Step 10:  Breathe
It will be okay!  Your body knows how to have babies.  In the swirl of activity, remind yourself to relax and enjoy your pregnancy!   
Krystyna’s Note:  However this birth is going to go, your body is still in the midst of the miracle of creating an entirely new human being over the course of the pregnancy.  You are an amazing, creative goddess – enjoy the glow and revel in your growing baby bump!
 
Are you planning/have you had a VBAC?  What is/was been important to you?
 
Please leave us a comment - it will be moderated and posted. 
*I think* that the amount of traffic you so generously generate has led to a lot of spam posting.  In an effort to keep the spam to a minimum, I am taking the time to moderate comments now
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
LINK LIST
Family-centered Cesarean
http://blog.ican-online.org/2012/04/14/the-family-centered-cesarean/

ICAN of Phoenix Provider List
http://icanofphoenix.weebly.com/valley-resources.html    

Bradley Method Course Outline
http://www.bradleybirth.com/krystynabowman?Page=5

Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.


0 Comments to Planning Your VBAC – Where to Begin:

Comments RSS

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint