You've recovered from your c-section and you're ready to welcome your next baby into your family. You've been researching your birth options, and you have decided you want to go for a VBAC (Vaginal Birth After Cesarean). Maybe your c-section birth was traumatic or maybe you just don't want to go through another abdominal surgery unless absolutely necessary - it doesn't really matter WHY you chose a VBAC; the question you're facing now is, "What do I do next?"
Well, I'll tell you, and you should listen carefully. This could be the decision that makes or breaks your VBAC. A quick Google search would produce tons of recommendations for activities, birth classes, diets, supplements, chiropractic care and pretty much anything else you could imagine to help you along in your VBAC journey.
As a successful VBAC mom myself, however, I think there is one vital piece of the puzzle that will make all the difference in your VBAC plans -
A Supportive Birth Team.
You can do everything "right" and have the healthiest pregnancy ever, but if you don't have a birth team that supports your VBAC plans, you will have a much harder time following through with those plans.
First on my list were my mom and husband.
Of course, they both said they wanted to support me in whatever I decided, but it was also important to me that they know the research and the reasons behind why I chose to have a VBAC. I knew that when the exhaustion and hard work of labor took over, I would need them to know my wishes and be able to speak for me if I couldn't.
Next, I needed a new OBGYN.
In the state of South Carolina, there are limitations on VBAC moms. It is against the law in this state for a midwife to attend a VBAC birth outside of a hospital. That rules out homebirths or birth center births for moms like me who are uncomfortable with an unassisted birth. Here in Charleston and throughout the lowcountry though, we are fortunate that the majority of our hospitals do allow VBACs. Only a small number of OBGYN practices ban them altogether.
Unfortunately, I discovered that the obstetrician who delivered Bug via c-section was a part of one of the few practices with a VBAC ban. I knew I would have to break up with my doctor if I wanted to move forward with the birth I was planning. I'm not going to pretend it was an easy "Bye Felicia" to leave that practice. Most of the doctors I had experience with there were kind, wonderful people. My decision to leave was solely based on the fact that their practice did not align with my beliefs about my birth and my care. We women sometimes need to be reminded that we are the decision makers in our own births and health care. We have a right to ask questions or seek other opinions or break up with doctors who may not line up with our preferred standard of care.
If you aren't sure what to look for in a VBAC care provider, VBACFacts.com is a great resource and they have a list of questions to ask your care provider.
When I met with the doctor who would eventually care for me throughout my pregnancy with Bubba, I talked to her in depth about her feelings about VBAC and the success rate at the hospital where I would be delivering. She assured me that as long as baby and I were healthy, we would be treated like any other perfectly healthy mom and baby in the practice. She also told me that even if some special circumstance were to arise, they would not automatically push another c-section before exploring other options first.
Finally, I hired a doula.
A doula is someone who is trained to assist a woman and her family in labor. I knew that the hospital where I would be delivering is a large teaching hospital, and I would most likely end up with whatever on-call doctor was available when I happened to go into labor. I wanted to make sure I had someone with me who understands the labor process and would help me advocate for myself in the hospital.
People often tell me they are surprised that my doctor or hospital "allowed" me to labor as long as I did with my VBAC baby. I always tell them that's the value of a supportive care team. Even though I strongly disliked the resident who ended up delivering Bubba, I will say one thing in her favor - she never once tried to bully me into another c-section. By surrounding myself with a strong, supportive birth team, I was able to have a successful VBAC despite my long, exhausting labor.
There's one person I wish I had on my team though...
A birth photographer. I'm not saying that just because I'm a birth photographer either. We saved up in order to hire a doula, and I wish I had found a way to save more - sold stuff I didn't need - whatever I needed to do - in order to hire a birth photographer. I would give anything to have photos of the look on my face when they put that beautiful baby on my chest.
If you need a birth photographer for your "I did it" moment, click here to learn about my birth photography services.
5/10/2018 06:16:46 pm
I heard from my mother that if you really want to give birth the natural way, you should limit your sugar intake and try not to gain too much weight. It will greatly help also if you are vegetarian because it can make delivery easier. But all of these are just myths, I guess. I know someone who is vegan since birth but she had to eat beef for the first time when she got pregnant. Maybe I shouldn't listen to a lot of hear says and just ask an expert in the field.
8/5/2021 03:16:37 pm
Hey, great to hear of your experience. I am pregnant nkw and is struggling to identify good vbac doctors. Do you recommend your doctor who supported your vbac birth And if so, can you share with me the doctors name. I am new to Charleston and hardly know anyone who can help me with these.
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