Episode 382 Alice's Safe HBAC After Healing From an Abusive Relationship + Domestic Violence Support

In this powerful episode, we hear the story of Alice, who shares her brave journey through two contrasting pregnancies and the impact of intimate partner violence on her mental health. Co-host Sarah joins as one of our VBAC Link certified doulas to discuss the importance of mental health awareness, especially during pregnancy and postpartum. This episode dives into the significance of having a strong support system and the need for open conversations about postpartum mood disorders and trauma-informed care. Alice is a beautiful example of resilience, healing, and the strength that women possess. National Domestic Violence Hotline Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Meagan: Women of Strength. Hello. How are you doing? I hope you are having an amazing week. We have another story coming your way today, and we actually have a co-host today, my friend Sarah. Hello, Sarah. Sarah: Hi. Meagan: Thank you so much for being here today. Sarah: Yeah, I'm super excited to be here. Meagan: I love having our VBAC Link doulas on the podcast here and there. It's fun to not only share you with the world and let people know who you are and where you are, but really just to hear from you guys and hear your educational pieces and just have you guys in the story and giving your input, and I just love it. So thank you so much for being here. Sarah: Absolutely. Meagan: Guys, today, like I said, we have an HBAC coming your way. But I did want to let you know that today's episode may have mention of partner abuse and suicide. I really, really, really think it is so important to really not mask stories and share the rawness of people's stories because I think the rawness and the real story is what makes us who we are today and really creates the story to be true. I just wanted to give you guys a heads-up. But I'm going to turn the time over to Sarah. She is in replace of our review today doing an educational piece and actually talking about mental health. Sarah: Yeah. Hi. So again, I'm super excited to be here. I'm Sarah Marie Bilder. I'm located in the upstate South Carolina area and I do birth and postpartum doula work. I really just wanted to cover the topic of mental health because in the story that we're gonna hear today, it's pretty relevant and it's one of those things that aren't often talked about. I don't wanna say that that's not talked about because when we say that it kind of, I feel, diminishes the people that are talking about it. It's important to really highlight when we are talking about it. But a lot of the times when we're preparing for pregnancy, we're focused on the physical aspects or maybe mindfulness or something along those lines, but we don't really dig deep into postpartum mood disorders or when there are mood disorders that are still occurring in pregnancy or even that might exist before we're pregnant that will still continue throughout pregnancy. So it's really important to make sure that we're having these conversations and that we're being open and honest with the people around us. Maybe if you aren't in therapy or have somebody sort of set up along those lines, you still have a close friend or a support person that you can be sharing this information with or really opening up about the feelings that you're having because they are very real feelings, and even into postpartum, it goes more than just the baby blues. There are a lot of different things that can be occurring and happening that it's really important to continue to have those support people. So as a doula, this is something that I make sure my clients are aware of and open to, and I try to be as much of a support person as possible, but knowing when professionals need to step in and when situations need to be handled I think is really key. So making sure that you have people to talk to, making sure when you listen to these stories that you are considering different situations and different aspects and that we're talking to our mom friends too. If you're not the one currently going through it, if you're hearing somebody else going through different situations, we're continuing to stay open and stay together and stay supportive. Meagan: Yes, I love that. Thank you so much for that message. I also want to add through to it that after we have our babies, we are given a six-week follow-up. You do not have to wait six weeks to talk to your provider. If you are feeling these feelings, you do not have to wait until then. You one, can get in sooner. But two, there are other resources, and we will make sure to have those resources shared at the end of this episode and in our show notes. So if you or anyone that you know and love are experiencing these things, please know that there is more help. Okay, Alice and Sarah, thank you so much again for being here today. I want to turn the time over to you, Ms. Alice. Alice: Hello. Thank you so much for having me. I'm very excited to be here and share my story. Meagan: Me too. Alice: So I have had two pregnancies, two births, and they were both very, very different. My first pregnancy, when I think about when I found out I was pregnant with my first, it was the lowest point of my life. I was nine months into being married to my abuser and had really lost my entire sense of self. I was at this point where I just didn't understand how I had gotten there. I didn't understand how I had married him. I found myself hospitalized from a suicide attempt. I also had no social support. I had no family in the area. I had no job. My husband was an attorney, and I relied on his friends and his family for emotional support. I was hospitalized and felt very lost. About a week into my hospitalization, the staff, who were constantly running tests and blood draws, pulled me out of a group where I was learning how to deeply breathe, and to my shock, told me I was pregnant. I had no idea. It was just a very out-of-body experience being hospitalized for mental illness. Some people can find it really helpful in healing, and it can also be a trauma in itself, and it was that for me. So to be in this setting where I had no freedom, and then these people were telling me what was inside of my body. It was-- I couldn't process it. I was very disconnected to my pregnancy at first. The next five days of being hospitalized, I was presented with a lot of information about pregnancy and intimate partner violence. It's information that I think is really important for providers to know, but it was presented to me as a new pregnant person in an abusive relationship in a way that felt really coercive and fear-mongering. They told me that the leading cause of death in the United States for pregnant women was intimate partner homicide. Meagan: Okay. Alice: Yeah. I remember one provider telling me, "Your options are to terminate the pregnancy or to leave him now. It's our professional opinion that if you stay in this relationship while pregnant, it's very likely that he will kill you before you give birth." Meagan: Gosh. Alice: I remember feeling so shocked and afraid. I knew I wanted to be a mom. I think the decision to continue a pregnancy or not when you're faced with, it's always a difficult decision. It was for me because I was afraid, and I knew I wanted to be a mom. I also knew that I couldn't leave yet. The leaving is really complicated, and it's not a direct line to safety. I remember feeling when they were talking to me about leaving, like, "Well, you could go here or you could call this person," thinking like, don't you think I've already thought of this? Don't you think I've thought of every way to keep myself safe? Now I was pregnant, and I wanted the assumption that I was making decisions that were best for me and my baby. My pregnancy was difficult. I had hyperemesis and I had this pregnancy rash that was really itchy my whole pregnancy. They kept testing my bile levels, and they were all normal and never knew what was going on. I have scars on my body from scratching. I'm pretty sure now that it was just stress and breaking out in hives throughout my pregnancy. I had broken ribs in my third trimester. When I think about that pregnancy, I remember it being a time of suffering and fear. I feel sad for myself when I think of myself during that time experiencing pregnancy like that. At the same time, I had an incredible midwifery team based out of a hospital. I can't say enough about how supportive and trauma-informed they were. They never pressured me to leave. They asked questions like, "What can we do to help? How can we make you safer?" They trusted that I was doing everything I could and that I knew how to keep myself safe and how to keep my baby safe. I was living with my in-laws when I went into labor with my first. I had moved in and out of our home depending on how safe it was. I didn't have anywhere to go other than his parents'. I was living with them and my waters had been leaking for a few days and I knew. I was like, I know I'm not peeing this much all the time. I knew that my waters were leaking, but I didn't want to go to the hospital yet because I hadn't started contracting, and I knew they would induce. I started having contractions at midnight. I went in about 24 hours later. It was really slow. I tried everything I could to get things moving, but it just wouldn't speed up. I ended up being induced. I don't necessarily regret the decision to be induced. It did lead to a C-section, but when I went into the hospital, I didn't know what home I would go to. I wanted to be there. I remember thinking, I want to stay here. If that means I have to get induced, that means I get induced. But I felt much safer being in a hospital at that point. They started the induction process. I had a doula come, and I also had my therapist come. She was with me through my entire labor at the hospital and birth for-- she was there maybe 45 hours. We had made a contract and it's pretty innovative to have my therapist there as a support person at my birth. I think it's an induction story that we all know my body wasn't ready. I was on Pitocin for a very long time. Baby's heart rate started decelerating, not tolerating labor, and made the decision to have a Cesarean. It wasn't the birth that I wanted, but it was the safety that I wanted. I had support there. They made sure to tell me specific things that were in my birth plan that were triggers for me. When I was laid on the table for the C-section, someone got very close to my ear and said, "No one's tying you down. I know your arms are out. It might feel like that, but know you are not restrained." At one point, the anesthesiologist started petting my head because he was sitting by my head. The obstetrician who was just there to do my C-section, wasn't there for very long. She had read my birth plan and said to the male anesthesiologist, "She doesn't like her head to be touched." He stopped. I felt very seen. I did skin-to-skin in the delivery room. My therapist was in the operating room with me. It wasn't a terrible Cesarean experience. So postpartum was pretty hard. When I left the hospital, I was living alone with my baby. My in-laws agreed to encourage my husband to live with them so that we could be safe from him during the postpartum time. But living alone after a C-section with no family or friends and no doula was very, very difficult. My husband had substance-use disorder, and he took my pain medication when I got home. I just remember being in a lot of pain. I also was in this haze of falling in love with my baby. It still shocks me that I did not experience postpartum depression with my first. I was depressed through my pregnancy, and I also think I was in such a survival mode during the first year of my first baby's life that I didn't have any space to process or space to grieve. I was surviving. One year after giving birth to my first, I did file for divorce to get a restraining order and safely flee with my child, but it was a very long, difficult road. Meagan: If you are someone who is experiencing domestic violence during pregnancy, postpartum or just in general, there is help. You can reach out to the National Domestic Violence Hotline at 800-799-7233. Alice: So that was my first birth experience. Fast forward to four years later, I've memorialized the day that I found out that I was pregnant with my first because it was such the lowest point of my life. I think of it as this time where I was ready for my life to end. I'm gonna cry, but instead my life doubled and it led to this beautiful little human who I get to be a mom to and really changed the trajectory of my entire life, so I call it my life day. Four years later, on my life day, I was in a loving relationship with the most gentle man. I still am in that relationship. I felt like things were a little wonky with my body. I woke up and took a pregnancy test and saw on the exact same day that the hospital told me that I was pregnant, four years later, I had a positive pregnancy test. I was in a home that I owned, a home that was safe and filled with love and a relationship that was safe and loving. It was just so different. I went and I laid in bed with my then 3-year-old and said, "We're gonna be just fine." And I knew that we were going to be. My second pregnancy was also different. It was very healing. I experienced a lot of sadness again because I think I had space to grieve the first time. It also happened because I got pregnant right around the same time. It was like this weird re-do of my first one now with a loving partner and safety and getting to be pregnant. I think about what I wanted for my body and how to stay healthy. I didn't take a single vitamin during my first pregnancy. I was just focused on, how do I stay safe today? I can't even count all the supplements I was on this time. I knew pretty soon that I wanted a home birth. I feel like I was pretty educated on VBAC. I had been listening to The VBAC Link since I was pregnant with my first. I don't know why because I hadn't had a C-section yet, but I had loved the podcast and I knew the rates of repeat Cesareans. I also work in labor and delivery units and I know that they're very risk-averse. I felt like it was the safest option to birth at home. I also felt the weight of how precious it was to have a safe home that I could birth in. It was very meaningful for me to give birth in a space that was mine and was safe. My partner, who knew nothing about home birth, I broached the subject with him early in pregnancy was like, "I want to let you know. I don't know what you think about this, but I want to have a home birth." And he was just like, "Great." I was pretty surprised that he was so on board, but he trusted me, and he trusted me the whole way through. I did not have hyperemesis the second time. I didn't have the rash problem. I didn't have the broken ribs. I did have a lot of pain from pubic symphysis. Yeah, the second half of my pregnancy was like very difficult to even walk. I broke my pelvis in my teenage years and was a little unsure of how that healed. I broke it in two places. I have had this fear of, what if there's a bunch of scar tissue around a bone and baby's head couldn't get through? So I had that fear as well going into my home birth. My midwife was very skilled and very kind. It was a different experience of prenatal care. I also really loved my hospital prenatal care. I think given that I was in a high-risk situation, I loved my hospital prenatal care. It was exactly what I needed. And in my second birth, my home birth midwife was exactly what I needed. In my second birth, I went over my due date by 11 days which was such a mind game. I was so over it. I was just this crazy person who was doing everything that I could to get this baby out of me, but also was like, "No, I wanna be holistic. I don't to be induced. I'm not gonna--," so there were two parts of myself that were battling each other. But I, finally went into labor. My mother was here as well. My family lives far away, but my mother came to support me this time. It was just my mom and my partner and my three-year-old. I labored at home. I had my music. It was just a lovely experience of laboring and of joining in this experience that so many women have had of pain and beauty and endurance and strength. I felt so connected to the world and to women and to my mom. My midwife came. I started laboring at 7:00 PM. At 2:00 PM the next day, my midwife came. I labored in the tub. I had a blow-up birthing pool. I felt like labor was pretty straightforward until the last five hours that I was fully dilated, but he just wasn't descending. The midwife checked me and said that his head was stuck on my pubic bone. He was stuck there for five hours. It was a lot of pushing, but I wasn't really pushing the right way. It felt like contractions that just weren't producing anything. It wasn't opening anything. It wasn't moving him down. It was just nothing. I started to get really discouraged. We joke a lot about how belligerent I was towards the end. Right before I gave birth, I got very bossy and I decided it wasn't go going to happen. Like, "He's not going to descend. I'm over this. Call 911. Tell them to bring drugs. I need them here now." My midwife was like, "That's not how it works." I was like "No, call the police. Tell them to bring narcotics. I need to stop feeling this." I was being ridiculous. My midwife was encouraging me saying, "He is coming down. I know you're not feeling it, but I feel his head and it's right there. I think you're gonna have a car baby if we get in the car. and I don't want that to happen." I'm not a rude person, but I guess in labor, I am. But I stuck my finger in my vagina, and I was like, "Well, I don't feel him." They were loading up to go to the hospital because I was so insistent that this was not happening. I was standing in the living room and I said, "Wait." My partner was like, "She said wait." I could feel him coming down. It was the first time I really felt his head coming through my birth canal. It was such a different feeling. In 30 minutes, I pushed him out standing in our living room. It was just beautiful and lovely, and he was on my chest. My 3-year-old was there. Baby was on my chest. I was lying on my partner's chest. Nothing else mattered in that moment. Yeah. It was a lovely, beautiful, healing experience to come full-circle. I also gave birth on the four-year anniversary of filing for divorce and getting a restraining order from my abuser. It's like all of these things lined up just to give me this healing experience of new life. Meagan: Yeah. Seriously, these milestones that you're able to overcome from the past and replace with joy and beauty and excitement and healing. Oh, I have chills through the whole episode. How about you, Sarah? Sarah: Yeah. There's just so many parts of your story that are so unique and so fitting. There's so much strength in it, and there's so much emotion in listening and feeling all of the things that obviously you were going through. And some were external, but a lot were very internal. Thank you for sharing your story. The ability to be able to share your story takes so much strength in itself. Yeah. Meagan: We could see that and could see it in your eyes. You had my eyes welling up a few times. I was just feeling all the emotion as you were sharing and all the heartache in the beginning that you were sharing. And I loved how you were like, "I was in this. I was going through this really terrible, scary experience," but you were able to stay in this haze of bonding and you two together, you two thriving and surviving in this really unfortunate circumstance, but I am so glad that you were able to have that and grow and then now have this safe, loving home, and two cute babes. Alice: Yeah, they are cute. Sarah: Yeah. Yeah. And although your story's so unique, it's also in very many of our VBAC stories. We have that traumatic experience and then it leads to that very healing experience. I think it's just one of those things. You had mentioned having that space to process and getting out of that survival mode too. I think that's really amazing to honor that and mention that because sometimes we are just in that survival mode, and we don't allow ourself or we don't have the ability to give ourselves that time to really process what is occurring and what is happening. And a lot of the time we just need to do that, and we need to allow ourselves the time to do some fear-clearing and release a lot of that anxiety and other fears that are happening and going on. Meagan: Also on the end of the story, when you were talking about five hours where baby was just kind of hanging out there and you were stuck there pushing, but not really pushing, but in this weird, funky spot in labor, we have seen this where people are pushing and they're like, "Your baby's not descending." We are actually given a diagnosis of failure to descend as a reason for Cesarean, but then simply standing up and moving-- and I'm sure you were moving and grooving along the way, but it just sometimes is one specific motion. It might have been the quickness of you standing up like, "Okay, I'm going. We're going to do this," that did it. We don't know. I love seeing too that you were saying, "I had a broken pelvis in the past. I don't really know how that healed." In a lot of ways, a lot of providers would be like, "You had a broken pelvis. You don't have a proven pelvis. I don't know. I don't think I'm comfortable with this." But then here you did it, right? But that movement and I don't know, I just feel like there's so much power within our bodies that it's just incredible, and I love seeing that. And then your partner was like, "Wait, hold on. Don't go anywhere. I think we're staying." I love that that is exactly how it unfolded and that your other baby was able to be there with you, and just so many amazing things about your story. Thank you so much for being vulnerable and just being here with us. Alice: Thank you. 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