Episode 356 Jessica's VBAC + Switching Doctors at 37 Weeks + Bait & Switch + Our Supportive Provider List

“In that moment, I knew that was the last time I would see her. I didn’t know what I was going to do, but I knew I could not go back to her.” How do you feel when you meet with your provider? Are you excited for your appointments? How does your body react? Are you tense or calm and relaxed? Jessica’s first birth began with an induction that she consented to but didn’t really want. Her waters were artificially broken, and her baby just was not in a great position. After over 4 hours of pushing and multiple vacuum attempts, Jessica consented to a Cesarean. Listen to Jessica’s VBAC story to find out what she did when she realized at 37 weeks that her provider was NOT actually VBAC-supportive. Sometimes difficult situations actually work out even better than we hoped! How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Meagan: Welcome, Jessica, to the show. I am so excited that you are here and excited to hear your stories and actually talk a little bit more about what you do. Do you do it for a living, or is this just your passion project or whatever they call it? Is it your side job? Jessica: It’s on the side. It’s volunteer. My main job is a stay-at-home mom right now. Meagan: Yes. You’re homeschooling, right? Jessica: I am. Meagan: Oh my gosh. One of my best friends homeschools. I just praise you guys. Homeschooling is legit. It is very hard. That seems so hard. Jessica: It’s definitely a lifestyle. It’s different. It’s not for everybody, but it’s definitely for us. My daughter is only 5 so we are just getting used to it. Meagan: So Kindergarten? Jessica: She just turned 5 a couple of weeks ago, so we are technically doing 4-K right now. We are just getting into it. I’m still wondering every day, “Am I doing everything I should be?” I know as it goes on, I will get more comfortable and confident with it. Meagan: Yes, you will. That’s what I’ve seen with my friend. She was like, “This is what feels right. This is what we are going to do.” It took a little bit of a learning curve, then each kid added in, but she kills it. Yes, you are just a stay-at-home mom, but a full-time teacher. Holy cow. That’s amazing. Then yeah, you are doing La Leche League. Jessica: Yes. I have been a leader now for 2.5 years, just over that. I became certified. I think it was on my due date. I was trying to get everything done before my toddler was born. It’s been going really great. I really like it. Meagan: Yes. Tell us more about it because when I was– this was in 2014– pregnant with my second daughter. That’s when I heard about La Leche League. Tell us more about it and why someone would want to find their local leader, and then what all the benefits are and how to find them. Jessica: Sure. I first heard about La Leche League when my oldest was maybe about 9 months, so right away in my breastfeeding journey, I had no idea about it. I wish I had because it would have been great to have a community of support. I started feeling really passionate about breastfeeding and knew I wanted to help other moms with it because it can feel really isolating, especially because it was in the middle of the pandemic. I started researching ways that moms can help other moms with breastfeeding because I had no other background in it. I’m not a nurse. I didn’t work in the labor world. I just stumbled upon it, and I lived in Madison at the time. I saw that Madison had a chapter. They weren’t doing meetings at the time because everything was virtual. But I just reached out, and I said, “I want to be a leader. Tell me what I need to do.” They emailed me back, and I got in touch with another local leader there who had been there for a while. She was surprised. She was like, “You want to be a leader, but you don’t even know what we do. You’ve never been to a meeting.” I just said, “Yes. That is what I want to do.” It was kind of a long process to become a leader because everything was virtual. They didn’t know how to go about that. Meagan: Yeah. Jessica: So it took a little bit of a long time to become accredited as a leader. Meagan: Does it now or is it in person? Did it stay virtual? For someone who may want to? Jessica: I think everything is back to in-person. At least where I live now, Madison I know is back to in-person now too. Everything is probably running a little bit more smoothly now in terms of if you are interested in becoming a leader. Basically what leaders do is that we get some training within La Leche League, but we are your cheerleaders. We are here to support you. We are the middle ground between if we need to refer you somewhere for some additional help if it’s beyond our scope of practice of basic breastfeeding positioning, latching, or if you have questions of, “My baby is doing this. Is it normal?” That’s what we do. We have support groups every month for anybody to really join. Meagan: Awesome. Jessica: It’s fun. Meagan: Where can someone find it if they’re wanting to learn more? When it comes to breastfeeding, it sounds weird because you don’t have your baby yet, so why are we talking about breastfeeding? Why are we thinking about it? But I really believe that connecting before we have our babies with an IBCLC or a La Leche group is so important before you have your baby. If someone is looking, where can they find information or try to search for a chapter in their area? Jessica: You can just look up your state La Leche League. There should be a website that has all of the local chapters. They are all over the world, so you should be able to find somebody near you. Even if there’s not one near you, you can contact anybody. Let’s say they are 2 hours away. You can still call or text or email. They’ll usually, if you want to do something more in person, you can do some type of Zoom meeting. You can definitely find anybody to talk to. You’re right. It’s really important to get support before you even start breastfeeding if you know that’s something you want to do. I always say that breastfeeding is natural, but it doesn’t always come naturally. You don’t know what to do in the beginning unless you talk to somebody. Meagan: Yes. We will make sure to have the website linked in the show notes too, so if anyone is wanting to go search, definitely go check it out. Okay, now we are going to give a little teaser of what your episode is going to be about today. So, with your C-section, give us a little teaser of what your C-section was for. Jessica: So, my first birth went really smoothly and my pregnancy. I really liked my doctor. I really liked the hospital. It was a group of OBs of all women. I met with each of them. I really liked all of them, to be honest with you. They were all very supportive of whatever you wanted to do. Meagan: Which is awesome. Jessica: Yes, it is. I knew I wanted to have a vaginal birth. That was all I really knew, but I was also really young, I think. I was 23 for most of my pregnancy. I didn’t really educate myself beyond my doctor’s appointments. I trusted them to pretty much tell me what I needed to know, and that was it. That was my bad. Meagan: Yeah. Hey, listen. That is something I can relate to so much. I was also in my young 20s and just went in. Whatever they said, or whatever my app said, is what happened. I think that’s a little tip right there that says, “Let’s not do that.” Let’s not do that. Then for your VBAC, you had a bait and switch. I’m really excited, when we get to that point, to talk about bait and switch because it is something that happens. It can feel so good and then feel so wrong within minutes. It’s really frustrating, but I want to talk more about that in just a minute. We do have a Review of the Week, so I want to hurry and read that, then get into Jessica’s story. This reviewer is by diabeticmamawarrior . It says, “A podcast to educate the mind, heal the heart, and strengthen the soul.” It says, “Hi. I am writing this podcast from Seattle. We are currently pregnant with my second baby due in March of 2022.” This was a little bit ago. It says, “My first son was born at 28 weeks via classical Cesarean due to severe IUGR.” For anyone who doesn’t know IUGR, that is intrauterine growth restriction. “--and after hearing I would never be able to VBAC, I decided to do as much educated research as I could and to find my options was truly needed. I am also a Type 1 Diabetic and have successfully found an amazing midwife who not only feels comfortable and confident assisting in care through my pregnancy with my diabetes, but also with my special scar, and we are aiming for a successful VBAC. I am also receiving concurrent care with an OB/GYN as well to make sure appropriate monitoring of baby looks good throughout pregnancy. Listening to this podcast was one of the first resources I found, and it was a total GAME CHANGER.” It says, “Thank you, beautiful women, who bravely and shamelessly share your stories so that other women can also feel confident in making empowered decisions for their baby and their body. I am soon to join the legacy of women who have fearlessly VBAC’d happy and healthy babies. Much love, Ellen”. Meagan: Wow. What a beautiful review. Jessica: That was powerful. Meagan: Yes. What a beautiful review. That was a couple of years ago, so Ellen, if you are still listening, please reach out to us and let us know how things went. Okay, girl. It is your turn. It is your turn to share, just like what Ellen was saying, your beautiful stories, and empower other Women of Strength all over the world. Jessica: That review just reminded me that a long time ago, I reviewed the podcast, and you read it on one of the episodes. Meagan: Did we? Jessica: We did. I remember thinking, “This is so cool. I wonder if I could be on someday.” I’m sure you hear this all the time, but it’s very surreal being here knowing I listened to this podcast to help me heal. I’m just super excited to share my story. Meagan: I am so glad that you are here, and I’m so glad that we were able to read your review. We love reading reviews. It is so fun when we can hear the review, hear the journey, and then now here it is hearing the stories. Jessica: Yes. Meagan: Yes. Okay, well I’d love to turn the time over to you. Jessica: Like I said, I was introducing my story with my first. I just clicked through a birth course breastfeeding course that the hospital provided for me. I clicked through it to get it done and to check it off my list. Meagan: Birth education– yes, I did. Jessica: That’s exactly what I did. I’m prepared, whatever. I’m just going to go into this, and everything will happen like it’s supposed to. Mentally, everything was going well in my pregnancy. I wasn’t super eager to give birth. I wanted to wait to go into labor on my own. I think what started to bother me or what made me a little bit more antsy was when I was 37 weeks. I agreed to have my cervix checked for dilation, and I was 3 centimeters already. I was so excited, and the doctor said, “I don’t even think you’re going to make it to your due date,” which made me think, “Wow. I’m going to have this baby in the next 2 weeks. I’m not even going to make it to my due date. This is so exciting.” If any of your doctors ever tell you that, don’t let it get into your head because that doesn’t mean anything if you are dilated. I was 3 centimeters continuously. Meagan: Yeah. You can walk around at 6 centimeters, not even kidding you. My sister-in-law was at 6 centimeters for weeks, and nothing was happening. She was just at 6 centimeters. It can happen when you are just walking around. Try not to let them get into your head, or to get nervous when you’re like, “I could have a baby at any second.” It gets in our heads, and then when we don’t have a baby, it’s infuriating and defeating. Jessica: That is pretty much what happened. When I got to my 39-week appointment, I was still 3 centimeters. I just expressed how I was frustrated. I was tired of being pregnant. My doctor said, “Well, let’s set up your induction.” I had never even thought of being induced at that point. It was never mentioned. It never crossed my mind. It sounded so intriguing at that moment to just get this over with. I don’t want to be pregnant anymore. My sisters had been induced, and they had a good experience. It will go the same for me. Everything in my head was telling me, “Don’t do this. You know you don’t want this,” but I did it anyway because I had it in my mind that I should have had my baby already anyway based on what they told me a couple of weeks ago, so it would go so smoothly. She said, “You are a great candidate. You are already 3 centimeters.” We scheduled it. I think it was that Friday I went. It was Monday, on Labor Day, that we had my induction scheduled for. I didn’t have a lot of time to even process that. Meagan: Yeah. Did they say how they wanted to do it, or did they just say, “Come in. Have a baby”? Jessica: They briefly told me that they would start with Pitocin and see how my body responded to that. They would probably break my water which is exactly how it happened anyway. Meagan: Yeah. Jessica: Yeah. They started me with Pitocin at 3:00 PM. They kept increasing it, then by 6:00 PM, my body was just not responding to it. I didn’t feel anything. The doctor who was on call wasn’t my normal doctor, but I saw her a couple of times. I was comfortable with her. She came in and said, “Well, we could break your water. Is that what you want to do?” I said, “Sure. If that’s what you think we need to do, let’s do it.” Meagan: Yeah, I’m here to have a baby. What’s going to get me there? Jessica: Yeah. She was head down, so I thought, “What could go wrong? She’s already head down.” I didn’t know at the time that just because she was head down doesn’t mean she’s in a great position. She wasn’t. She was– what do they call it? Meagan: Posterior? Jessica: ROT. Meagan: Right occiput transverse. Okay, so looking to the side. Sometimes, when we say transverse, a lot of people think the body is transverse which is a transverse lie, but ROT, LOT, left or right occiput transverse, means the baby’s head is looking to the side, and sometimes, that can delay labor or cause irregular patterns because our baby is just not quite rotated around or tucked. They are looking to the side. Jessica: Right. That was pretty much what the obstacle was because when they broke my water, she engaged that way, so her head never was able to turn properly which we didn’t know yet. I feel like the doctors could have known that because aren’t they supposed to be able to feel and know maybe a little bit of where they are? Meagan: Yeah. So providers can. They can internally, and it depends on how far dilated you are. If you were still 3 centimeters, probably not as well, but at 3 centimeters AROM, where we are artificially breaking it, that’s not ideal. Usually, the baby is at a higher station at that point too. I call it opening the floodgates. We get what we get however that baby decides to come down, especially if baby is higher up and not well-applied to the cervix. If baby is looking transverse and hasn’t been able to rotate right during labor, then they come down like that, and then we have a further obstacle to navigate because we’ve got to move baby’s head. I will say that sometimes a baby might be looking transverse and mainly through pushing, a provider can sometimes rotate a baby’s head internally vaginally, but you have to be fully dilated and things like that. Can they feel through the bag of waters? If they can feel a good head, yes. Sometimes they can. Sometimes they can’t, but again, there are all of these things that as a doula anyway, I help my clients run through a checklist if they are going to choose to break their water. Sometimes within your situation, I’d be like, “Maybe let’s wait.” But their view was, “Let’s get labor going. We are starting Pitocin. The body’s not responding,” which we know is a number-one sign that the body isn’t ready. Sometimes we still can break water with better head application and with the water gone, it can speed labor up. That’s where their mind was. Their mind probably wasn’t, what position is this baby in? Where is this baby at? What station is this baby at? It’s like, let’s get this baby’s head applied to the cervix. Jessica: Yes. I mean, it did work. As soon as my water broke, I immediately when into active labor. The Pitocin contractions were very awful. I felt them immediately because not only did my body start going into labor, but then the Pitocin also was making it worse. Meagan: Yes. Yes. Jessica: So I begged for an epidural right away even though I knew that’s not what I wanted. I didn’t do a lot of preparing for labor, but I know I didn’t want an epidural right away. I remember the very sweet nurse I had saying, “Do you want me to run the bath for you?” I said, “Are you crazy? That is not what I need right now.” Meagan: She’s like, “I’m trying to help you with your birth preferences.” J: I know. She was so nice. I apologized to her after later on when I saw her. That was the head space I was in. I just needed that pain to be gone. They ended up turning the Pitocin off eventually because my body just did what it needed to do on its own. Meagan: Good. Jessica: I didn’t get much rest after that. I couldn’t really sleep. I was too excited. But it wasn’t very long until I was ready to push after that. I think at about 7:00 PM, I got the epidural, and at midnight, I was ready to push. I kept trying and trying. 4.5 hours went by until she was just not coming over. I don’t know if it was my pelvic bone or something. That’s when we knew she was not going to turn. They suggested that we try the vacuum. I didn’t know what that was. That was very traumatic because the lights were bright. Everyone was in there. I remember my doctor saying, “Okay, we have one more attempt with this vacuum, and that’s our last attempt.” Of course, it didn’t work because in my mind, I knew it was my last chance. It was not going to work, and it didn’t. I was really upset after that. I remember crying saying, “I don’t want a C-section.” I was really afraid of it. But, that is just what we had to do to get her out at that point after attempting the vacuum. I remember being wheeled down to the OR and just being so tired and not knowing how I was going to take care of a newborn after having surgery and being so tired. I had been up for 24 hours. The C-section went fine. I was out of it though. I was passing out here and there just being so tired. They had to tell me to actually look up. “Your baby’s here. Look up.” I remember opening up my eyes going, “What?” I was forgetting what I was doing. Meagan: Out of it. Jessica: Yeah. I was very much out of it. But after that in the hospital, I wasn’t too upset about having a C-section. I was just so excited about having my baby. It really didn’t hit me until we were on the way home from the hospital. I started crying and was so upset. I felt like my experience was stolen from me because I felt like I was so mad at my doctor for bringing up an induction at that point knowing if she didn’t, I would have never asked for one anyway. I had a lot of regrets about everything. In those couple of weeks after having her, your hormones are very up and down anyway. One moment, I would be fine. One moment, I would be really, really upset crying about it. I wanted to redo her birth so badly that it almost made me want another baby. “If we just have another kid, we can try again,” even though I had this 3-week-old next to me. Meagan: Yeah. Jessica: I was not thinking very clearly. Meagan: You were craving a different experience. That’s just part of your processing. Jessica: Yes. And looking back, I wonder if I was struggling with some PTSD because I would lie there at night not being able to sleep, and I would suddenly smell when they were cauterizing the wound. I would suddenly smell that again and think I was back in the OR. It wasn’t very fun. Meagan: Yeah. It’s weird how sometimes the experience can hit you in all different stages and in different ways, but right after, you’re like, “No. No, no, no. I need something different. Let’s have another baby right now. Let’s do this.” So once you did become ready to have another baby, what did that look like? What did that prep look like? Did you switch doctors? You liked your whole practice. How did that look for you? Jessica: Well, we moved. I knew I had to find another doctor. I would have anyway in Madison. I would have gone with a group of midwives that somebody I knew had a good experience with, and after listening to the podcast, I wanted a midwife. But unfortunately, where we moved, we live in Green Bay now. I was so limited on which provider I could go with. In one hospital, one group, that was all I could do locally. I couldn’t go with the hospital that everybody was recommending or the midwives that everybody was recommending for a VBAC. Meagan: Why couldn’t you go there? Jessica: My insurance was very limited. It still is. We can only go to this one hospital and one facility for doctors. Meagan: Okay, so it was insurance restrictions. Yeah, not necessarily a lack of support in your area. It just was insurance which is another conversation for a later date. Stop restricting everybody. Jessica: I was very surprised because when we were in Madison, I could go wherever I wanted and see whoever I wanted. I ended up just choosing somebody. I liked her. She was initially very supportive of having a VBAC. I had mentioned it in my very first appointment that this was what I want. She said, “Oh, I’m so excited for you. This is going to be great.” I even mentioned that I was still breastfeeding my daughter when I was pregnant. They just seemed very supportive of all things natural and all things birth. Meagan: Everything. Jessica: Yeah. There were no issues whatsoever. I had already hired my doula when I was 6 weeks pregnant. I had already talked to them before I had even saw my doctor. I told them about how I was really limited and this was where I had to go, but I felt very supported knowing I had a doula and knowing I had somebody on my side It didn’t really bother me at the time that I just had to pick whatever doctor I could. This was also a practice where the doctor I had wasn’t going to be probably who I would give birth with. That also didn’t bother me because I thought, “I have a doula. I have support. I know after listening to this podcast what I need to do to defend myself if that time were to come.” Meagan: Advocate for yourself, yeah. You felt more armed. Jessica: I did. I really did. I ended up seeing a chiropractor as well which was very helpful throughout my pregnancy. I loved going to the chiropractor. Not only did it help get her in a good position, but I also just didn’t really feel body aches as much as I did, so there were a couple of benefits to going there. I definitely recommend a chiropractor. Meagan: I agree. I didn’t go until my VBAC baby. I started going at 18 weeks, and I’m like, “Why didn’t I do this with the other babies?” It was just amazing. Jessica: Yeah. It really is. But my doctor’s appointments this time were very different. They were very rushed. They felt robotic. “How are you feeling? Great. Let’s get the heartbeat. Any questions? No.” I really kept my questions for my doulas anyway because I really trusted them. I don’t know. I didn’t feel like I had many questions anyway because I knew what I wanted. I knew I wanted to show up to the hospital basically ready to push. One of the red flags, I will say, that looking back now with this provider that I had initially is that she never asked for any type of birth plan. She knew I wanted a VBAC, and I thought it was a good thing that she wasn’t really asking details. I felt like, “Oh, she’s letting me do my thing.” But looking back, I think it was just because she knew that’s not what was going to happen. She knew. Meagan: Yeah. You know, it’s interesting. We’ve had providers who have told people here in Utah. The client will say, “Hey, I really want to talk about my birth preferences.” The provider will say, “You’re really early. We don’t need to talk about that right now. We could talk about that later.” Or, “Hey, I was thinking I want to talk about this. Can we talk about that?” “No, not today. It’s fine. Whatever you want.” Then it comes, and we’ll hear more about your experience. I’m sure it will relate to a lot of people’s bait-and-switch stories. Jessica: Yeah. They sound so supportive in the moment, and then it’s not looking back. It continued on through my whole pregnancy. Even when I was 35 weeks, she suggested a cervical dilation check. I denied it at that point. I thought it was too early. 35 weeks is very early. Meagan: 35 weeks? Yeah. Jessica: I’m really glad that I stood up for myself and said no, because I was having one of those moments of, do I just do it anyway? I said no, and she was very fine with it. She said, “That’s fine. You don’t have to if you don’t want to. We don’t have to.” I also thought that was a good sign. Meagan: You’re like, “Yes. If we don’t have to, why are we suggesting it in the first place?” But I can also see where you’re like, “Well, sweet. She’s respecting my wishes. I didn’t want to. She’s saying, ‘Okay’.” Jessica: Exactly. But I made the mistake of agreeing to it at my next appointment because my curiosity got the best of me. I knew that it wasn’t important for me to be dilated, but I was trying to compare it to my last pregnancy. At 37 weeks, I was 3 centimeters with my first. I wonder if I’m going to have a different experience this time. Let’s see where we’re at. I was at 0. I just thought, “That’s totally normal. I have a lot of time left.” Her demeanor changed very much. It was like at my appointments before, she was a different person now. Meagan: Oh. Jessica: She said, “Well, if we’re not showing any signs of labor by 40 weeks, we need to schedule your C-section.” Meagan: Oh no. Jessica: She must have noticed I was surprised. I said, “But I don’t want a C-section. Did you not remember that I’m going to have a VBAC?” She said, “Well, you don’t want to risk your baby’s life.” Meagan: Bleh. Barf. No. Jessica: Yes. Yes. I knew that was just a scare tactic. I luckily was not phased by it. I was educated. I mentioned something along the lines of, “Well, wouldn’t we try to induce me before we jump ahead to the C-section? There’s no medical need.” My pregnancies were so boring. There was nothing that would indicate anything, not even an induction, but I thought, “Why not even just mention that before a C-section?” She said something like, “There are too many risks involved.” That was the end of the conversation on her end. She pretty much wrapped it up and said, “It’s pretty slippery out there. Be careful,” and walked out. Yeah. The conversation was over. In that moment, I knew that was the last time I would see her. I didn’t know what I was going to do, but I knew I could not go back to her. I went back to the parking lot. I was crying. I texted my doulas right away what happened. I said, “I need to figure something out very quickly. I’m 37 weeks. I know I can’t go back to her. Can you please help me figure something out?” They were so, so extremely helpful with helping me figure out my options. I thought that at this point– in the beginning of my pregnancy, I knew, “I’ll just stand up for myself. I know what I want,” but when you are very big and pregnant, and you are very vulnerable, you don’t want to do all of that arguing. You just want somebody who is going to support you. I just knew I couldn’t go back to her. I didn’t have the energy to try to defend myself or advocate for myself. I just needed somebody who was already going to support my decisions. They encouraged me to look a little bit further out of Green Bay which I didn’t initially want to do. I wanted the hospital to be close. I had a 2-year-old. I didn’t want to be far away from her. But knowing I had limited options, I looked a little bit farther out. I texted them, “Hey, there is this doctor who I can go to in Neenah. It’s pretty far. I said her name. I don’t know if I’m supposed to say doctors’ names. Meagan: You can. Yeah. You can. People will actually love it so they can go find support themselves. Jessica: Yeah. I said, “There is this doctor, Dr. Swift, who is down in Neenah. That’s the only one who is really popping up on my insurance who I can go to.” They immediately texted back, “You need to go see her. She’s amazing.” My doula had actually had her VBAC with Dr. Swift. They were like, “You need to go see her. This your other option.” Meagan: Oh, Sara Swift is on our list of providers. Jessica: She is. She’s amazing. Meagan: She is. Okay, so you’re like, “I’ve got this doctor’s name.” Jessica: I called them to make myself an appointment, and I wasn’t able to get in until the following Friday. It would have been after I was 38 weeks. I told doula– Meagan: That’s when you had your last baby, right? Jessica: No, actually my last baby was at 39 weeks, but I didn’t know what was going to happen. I told them, and my doula was actually personal friends with her. She said, “No, that’s not going to work. I’m going to text her, and I’m going to get you in sooner.” I think it was a Wednesday at that time. I was able to go see her Friday. Yeah. Meagan: A week earlier than you would have been able to. Jessica: Yeah. I helped me to feel more relieved knowing that if I had gone into labor before that next appointment, I would have known where to go. I would have had a doctor established. I was very, very relieved to see her. It was such a different experience than my other doctors. I had to bring my two-year-old with me, and at that point, she was getting antsy, so Dr. Swift actually sat on the ground with my daughter and was coloring with her while we were talking to keep her busy. I just remember thinking, “There’s no other doctor out there who would do this for a very pregnant patient.” It felt very much like a conversation between friends. It didn’t feel like a robotic type of conversation I had with my previous doctor. She very much upfront said to me, “Our hospital has VBAC policies. Here they are. You can deny anything you want. They’re not going to allow you to eat food, but if you say you want to eat food, you can eat. They’re going to want continuous fetal monitoring, but if that’s not what you want, tell them what you want.” It felt like she just was supportive of what I wanted to do. She said something along the lines of, “I’m going to trust you and your body to make the decisions that you need to, but also know that if I need to step in, trust that I’m going to do what I need to.” It felt so mutual there. I was so excited to go back and see her every week. I’m actually kind of mad that I waited that long to see her. Meagan: Yeah. Mhmm. I’m sure you felt like you were breathing in a whole different way. Jessica: I was. I felt very excited. The drive was longer, but it didn’t even matter at that point. I went from a 15-minute drive to 45 and it didn’t feel like there was any difference. It was all worth it. Meagan: I agree. It’s sometimes daunting with that drive or the time, but you guys, it’s so worth it. If you can make it work, make it work. I’m so glad. Okay, yeah. So you found this provider. Everything was feeling good. Jessica: It was feeling great. I actually ended up going past my due date. Meagan: Okay. Jessica: I was feeling a little bit– not defeated– I wanted to make it to my due date because I wanted to make it there with my first. I was excited when I got to my due date, and then I thought, “Okay, when is this actually going to happen? I’ve got a two-year-old.” My in-laws were coming up to watch her when we were going to the hospital. They live 2.5 hours away. I was starting to worry about, how is this all going to work out? But it really did. I felt my very first contraction two days after my due date. It was a Friday night at 6:30. We were getting my daughter ready for bed, and I felt that first contraction. I knew it was different than Braxton Hicks. I just knew, but I don’t even know to say if that’s when my labor started because that continued all throughout the weekend every 15 minutes. It was not a fun weekend. I kept thinking things were going to pick up, and then they would die down. Meagan: Prodromal labor maybe. Jessica: Yeah, I think so. At one point, I had my doula come over in the middle of the night. I didn’t know when to go to the hospital. I didn’t know if it was time or whatever. She came to my house in the middle of the night just to help me with the Miles Circuit and just the different position changes I could do. I believe that was on that Friday night that I started labor. I was also able to get into the chiropractor that weekend. They were closed, but again, my doula was very close friends with the chiropractor and texted, “Hey, Jessica could really use an adjustment. She’s not in labor, but it’s not progressing. Can you help her?” I went to go see them on Saturday and on Sunday just to get things moving. She was in a really great position. Everybody could feel that she was just in the perfect position. It was just that these contractions could not get closer together no matter what I tried. Something told me, “Hey, you need your water broken for this to progress,” because I couldn’t do it anymore mentally or physically. I was exhausted. I didn’t want to initially because I knew that’s what prevented me from having the birth that I wanted in the first place with my first experience, but something also told me, “Hey, you need to go do this.” My intuition was super strong in those moments where I knew. My intuition was strong enough to switch doctors that late in my pregnancy. There wasn’t another option. This time also, my intuition told me, “You have to go in, and they have to break your water.” I knew Dr. Swift would be supportive of that because she was supporting any type of birth plan I really wanted. She told me at any point, I could be induced, but that she wouldn’t bring it up again. It was my decision. On Sunday night after we got my daughter to bed, we drove to the hospital. We let them know we were coming. Our doula met us there, and we just told them our plans. Dr. Swift, I remember, said, “Well, if I break your water now, you’re so exhausted from the whole weekend. Do you want to try sleeping for a little bit and we will do it in the morning?” I said, “I can’t sleep. I’m having these contractions every 15 minutes.” It was really funny. She said, “Well if you want to sleep, I’ll give you something to help you sleep.” If anybody has ever met her or knows her, she’s got a great personality. It was just funny in that moment. It’s what I needed in that moment to have a good laugh. I was like, “Yes. Give me anything I need right now to rest just a little bit before the morning.” In the morning, she came back in around 8:00 or 8:30. I don’t remember what time it was. She said, “Yep. Let’s do this.” They double-checked me again to make sure she was in a great position. At that point, I was actually 4 centimeters. I forgot to bring that up. Meagan: Yay, okay. Great. Jessica: Yes, so those contractions I was experiencing over the weekend were productive. I felt better about that. I didn’t want to break my water with being one of two centimeters. I felt good. Again, my intuition was telling me, “You need to do this.” Yeah. They did, and once again, it immediately put me into active labor. My doula was helping me with counterpressure, then they ended up running a bath for me which was very helpful. I was skeptical. I did not think that was going to work. When they were filling it, I remember thinking, “This is a waste of my time. This is not going to work,” but it was very helpful. At one point in the bath, I just remember feeling, “Okay, now I have to get out and I have to start moving around.” As soon as I got up, I just remember feeling things intensify. I got that feeling in my head like, “I can’t do this anymore.” I knew that at that point, it was getting close because of that feeling of, “I can’t do this anymore.” Meagan: Yeah, mhmm. Jessica: I had just a moment of weakness and I said, “I want an epidural right now.” Even though I knew in my mind that it was too late, I couldn’t help but ask them for that epidural. Thankfully, my doula knew that’s not what I wanted, so she helped prolong that process. She said, “Well, why don’t we start with a bag of fluids and we’ll see how it goes from there? We can ask them, but they might be busy.” That’s exactly what I needed. I knew that’s not what I wanted. Meagan: She knew that, and she knew how to advocate for you, and she knew you well enough what you needed to prolong it. Jessica: Yes. I’m very thankful for that because she could have said, “All right, let’s get it right now.” But she knew and I had made it very clear that was not what I wanted to do. We started with a bag of fluids, and at that point, I could feel my body start to push itself. This was about 3 hours after my water was broken. It was a very quick process from then until that moment. While I was pushing, the anesthesiologist did come in the room. I remember the anesthesiologist did come in the room, and I remember he said something like, “Who’s ready for the epidural?” My doctor said, “No, we’re having a baby. Get out.” He came in in the middle of me pushing, and I feel like I scared every other mom there with how loud I was, but I couldn’t help it. Meagan: Sometimes you just have to roar your baby out. Listen, it’s okay. Jessica: I really did. I really did roar her out in 20 minutes. Meagan: Wow. Jessica: After that, I don’t remember feeling any other pain. The pressure was gone, and I remember just feeling like, oh my gosh. I did it. She’s here, and I get my skin-to-skin with her which I didn’t get the first time. I get to have this experience. I can’t believe I actually did it. Meagan: And you did. Jessica: I did. Meagan: You did it. Jessica: There is so much more than you just having that VBAC. Throughout the journey, you grew. You grew as an individual. You grew as a mom listening to your intuition. You really, really grew, and then to have that baby again placed on your chest, oh, how amazing and how redemptive. Meagan: It was so redemptive and healing. In that moment, I didn’t feel any type of way about my C-section anymore. I wasn’t upset about it. I really had a feeling that it happened for a reason because if it didn’t, I don’t think I would have tried to educate myself about birth. I would have probably done it a second time, an induction, if it went well the first time. I also don’t think I would have fought so hard the first time to breastfeed because I felt like I had to make it work. I didn’t get the birth I wanted, so I had to make this work at least. I personally think that my C-section happened for a reason the first time. In that moment, I remember feeling a wave of, “I’m not upset anymore. I got this experience.” Meagan: Yeah. You know, it’s interesting. I kind of had that same view to a point. I do feel a little grumpy with how my births went because knowing what I know now, I am realizing that they didn’t need to happen that way. I likely never needed a Cesarean ever. I just probably didn’t. But, it’s the same thing like you. I wouldn’t have focused so hard on this. I wouldn’t have done this. I would not be the person I am today. I would not be the birth doula that I am today. I would not be the podcaster today. I don’t think I would have ever started a podcast on any other topic because I’m so deeply passionate about this topic and birth and helping have better experiences, so I really hold onto those experiences and cherish them. It sounds weird because it wasn’t the birth we wanted, but it’s what brought us here today. Jessica: Yeah, exactly. I also wouldn’t be where I am today if I didn’t have my C-section. I don’t think I would have been interested in birth. I love it now. I think in the future, I would love to be a doula. I just recently took an exam to become a certified lactation consultant. I haven’t gotten my results back yet, but I don’t think I would have gone down that path yet either if I wouldn’t have had my C-section and fought so hard for breastfeeding to work. I felt like I found my passion within that circumstance that was very unfortunate, and it shouldn’t have happened, but it did. Meagan: But it did, and you’ve grown from it. We want to avoid unnecessary Cesareans. If this podcast is for VBAC moms, it’s just as much for first-time moms in my opinion because we obviously have an issue with the Cesarean rate. We do. It’s a serious issue. Jessica: Yeah, it is. Meagan: But with that said, I encourage you if you are listening, and maybe you haven’t been able to process your past experience yet, or you are fresh out of it, and it’s very thick, and it’s very heavy and dark because we know that can sometimes be that way, I hope and I encourage you to keep listening, to keep learning, and to keep growing, because that darkness will become light again. Those feelings– I don’t know about go away, but they will lift. I don’t know how to explain it. Jessica: You might feel different about it. You might feel different about it than you did originally. Meagan: Your perspective will change. It’s going to take time. It’s going to take processing. It’s going to take healing. It’s going to be finding the education, finding the right team, finding the right support system, but it is possible. It is really, really, really possible, and take Jessica and my word right now, because we really have been there. We really understand so many of the feelings. I know that we all process feelings differently, and we’re all in different places, especially depending on the types of births that we had. I know that there are way more traumatic experiences that happen out there, but this community is here for you. We love you. We are here to support you. Keep listening to the stories. Find the groups. Find the healing, and know that it is possible to step out of this space and to grow. It’s weird to think, but one day, you’re going to look back and say, “I might be grateful. I might be grateful that happened.” Yeah. Like I said, I’m not happy. I’m not happy it happened, but I’m going to cherish that. I’m going to try and flip it. I’ve made it a positive experience that it’s brought me to where I am today. It’s brought me to be in a place where I can share my story just like Jessica and all of the other Women of Strength before her to help women feel inspired and to avoid those future devastations and unfortunate situations. Jessica: Yeah. Don’t let anybody try to tell you not to feel a certain way about it because I’ve had plenty of people tell me, “But you’re healthy. But you have a healthy baby, you can try again next time.” I just said, “You don’t understand. You’re not in my position. I know there are people who do understand me.” Most of you who are listening will understand that yes, you have a healthy baby and you’re fine, but it was still not what you wanted. That experience is so personal. You want what you want. Meagan: You want what you want, and you’re not selfish for wanting it. You’re really not. I think that’s really important because sometimes I think we are made to feel that we are selfish for wanting a different experience especially out there in the world, a lot of people say, “Why would you want that? Why would you risk that? You are selfish. Just be grateful for what you have. Just be grateful that you do have your baby and that you and your baby are okay.” No. No. The answer is no. Last but not least, I really wanted to share a little bit more about the bait and switch and how to recognize that because you guys, it can be hard to recognize. I don’t ever believe that these providers are sneakily trying to fool us, but maybe they are. I don’t know. I’ll tell you, they do. They do fool us. I don’t know if that’s because our judgment is clouded or what, but I think it’s important to feel that inside. What does your heart do when your provider walks in? What do your hands do? Do they clam up? Do they clench? Do they freeze? What does your body do? Are your shoulders rising up? Are they relaxed? Does your face have a smile on it? Really tune into who your provider is making you be. Are they making you a tense ball, or are they making you relaxed and excited? I mean, really Jessica, the way you are talking about Dr. Swift, it sounds like she is amazing. She’s like, “Here. Here are the policies. I want you to know these. These are things that you are going to be up against. You might have to fight for intermittent monitoring instead of continuous. You might have to fight for this and this, but hey. I’m here. I’m on your side. We have these policies, but I’m here. Use your voice.” That was just so amazing. Jessica: It was amazing. I’m sad that I’m not going to have another child because I don’t get to go see her for appointments then. I really wish I would have met her sooner. That’s the type of doctor your need is when you actually want to go see them. That’s a big difference. You’re not thinking ahead of your appointment, “Well, I wonder if there is anybody else.” Meagan: Okay, I love that you said that. Check in with yourself and see if you are excited to see your provider. That’s how I was. I would look forward. I would look at the calendar and be like, “Oh my gosh. I get to see my midwife this week. This is so exciting,” because I would remember the way that she made me feel when I would get there. She would embrace me with a hug. “How are you doing, genuinely? How are you doing? How are you feeling?” We would chat, and it was a conversation like you said, like two friends. It really should be that connection. I know sometimes, providers don’t have the actual time, but tune into how you are feeling about seeing your provider. Are you dreading it? Are you worried about what you’re going to say? Are you worried that you’re going to have to be educated and come at them and say, “Well, I don’t want this, and I don’t want that”? What are they making you feel? If they are making you feel those genuine warm fuzzies, lean into that. Jessica: You have a good doctor then. Meagan: If you are feeling tense and anxious, I don’t know. It’s never too late to switch. You were switching later on. You had a further drive. There were obstacles that you had to hurdle through, but it is worth it. It is so worth it. We have a provider list, everybody. If you are looking for a provider, go to our Instagram. Look at our bio. Click on it. The very first block is supportive providers. If you have a supportive provider that you want to share, I was literally going to put Dr. Swift on this because of your testimonial of her, but she’s already on it. Jessica: She was already on it too when I checked. Meagan: Yeah. If you have a supportive provider and you checked this list and they are not on it, guess what? We have made it so you can add it. Definitely add your provider because Women of Strength all over the world, literally all over the world, are looking for this type of support. Jessica: Absolutely. In case you’re wondering if my other doctor ever reached out to me, I never heard a single word from her ever again. I canceled all my remaining appointments. Nobody reached out to say, “Hey, we noticed that you’re not coming back. What’s going on?” Anything could have been wrong when you’re that pregnant and you just disappear. It was upsetting that nobody said, “What’s going on, Jessica?” I was ready to let them have it because I was wanting them to reach out to say, “Why are you not coming back?” But they never called ever. Meagan: A lot of us stay because we are so worried about how our provider will feel or we have been with our provider this long. They deserve for me to stay. No. Do what’s best for you. I love that you pointed that out so much. I just want to thank you again so much for sharing your journey with us and all of these amazing nuggets. I know that they are going to be loved. Jessica: Thank you so much for having me. This just feels amazing to be able to share my story when I’ve heard so many on here before that were so helpful. Meagan: Yeah, and here you are. I love how full circle this always is, so thank you, again. Jessica: Yeah. Thank you for having me. Closing Would you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan’s bio, head over to thevbaclink.com . Congratulations on starting your journey of learning and discovery with The VBAC Link. Support this podcast at — https://redcircle.com/the-vbac-link/donations Advertising Inquiries: https://redcircle.com/brands