Episode 314 Amanda's Joyful VBAC + Building a Team with The VBAC Link's Resources

“It was just such a redemptive, wonderful experience. I am so grateful to The VBAC Link for seeing me through it, for giving me the information, and just the inspiration to even take this on because if I had never found you, I don’t know for sure if I ever would have gone through with it. So, thank you so much for that.” Amanda’s episode will warm your heart, give you chills, and bring tears to your eyes. Her birth stories include a rough induction at 36 weeks due to preeclampsia with an 11-day NICU stay and not getting to hold her baby for 32 hours. When she found The VBAC Link, Amanda was given hope that she could have another baby and that her experience could be very different. Equipped with information and drive, she was able to do just that. Amanda’s VBAC birth was spiritual and powerful! Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Episode Topics: Review of the Week Amanda’s stories Monitoring for preeclampsia Cervadil, Magnesium, and Cytotec Consenting to a Cesarean Throwing up during the C-section Waiting 32 hours to hold her baby Finding The VBAC Link Praying for a baby Scared or scarred Signs of wavering provider support Physical and mental preparation Contractions begin Advocating during labor The night nurse “It is done.” Importance of lactation support Meagan: Hello, everybody. How are you doing? I hope you are doing great. Right now, I can just tell you that my face is already hurting from smiling just from talking to our guest for 5 seconds. We have our friend, Amanda. Hello, Amanda. Amanda: Hello. Meagan: Oh my goodness. She has just been the sweetest thing just pouring on the sugar and sweetening me up. I mean really, she is saying just the nicest things about The VBAC Link and it has just been so fun to hear how The VBAC Link was part of her life. You guys, I love this so much. Thank you for supporting this podcast. Thank you for supporting us on Instagram and Facebook and all of the places. I truly from the bottom of my heart love you. I know I haven’t always met you but I love you and I love this community and I love what we are doing here. I am so grateful for the opportunity. I just wanted to say that it really wouldn’t happen without all of you so really from the bottom of my heart, thank you. Review of the Week Meagan: We do have a Review of the Week so I want to jump into that and then we are going to get into Amanda’s stories and maybe even some other things. We will see what this episode transpires to. Okay, so this is from Liz Judd and it doesn’t say where it was from, but it says, “Empowering”. It says, “I found this podcast around week 30 of my second pregnancy by searching for ‘VBAC’. I had a traumatic C-section in 2019 and I knew I did not want to go through that again. It was helpful for me to learn the evidence on VBAC, how to advocate for myself, and healing to listen to other’s stories. I just had my second child by VBAC and I thank you for the role you played in that.” Seriously, it warms my heart and you just said the same thing. You carried me through my whole pregnancy, and then this was back when Julie and I took a big 10-month break and you were like, “Oh no, they’re gone!” But here we are. We are back and I hope that we are carrying someone else or many other people through their pregnancy journeys as well. Amanda: I’m sure that you are and that review could not have related more to my story so I can’t wait to get started for you. Amanda’s stories Meagan: Okay, well without further ado, let’s do it. Let’s get started. Amanda: Here we go. My husband I met in 2004 which yes, was 20 years ago. We got married in 2009 and we were just living our best lives. We were traveling, doing all of the things. I had lost 129 pounds and I said, “I want to run a marathon and have a baby.” Meagan: Dang, yeah. Amanda: I was even a group exercise instructor at the time. Life was good. I ran the Marine Corps Marathon in 2015 in October and in 2015 December, I got pregnant. What was really special about that was we got engaged on Christmas Eve so on the 10th anniversary of our engagement, I got to share the news with my husband that we were expecting. Meagan: Yay! That’s so awesome. Amanda: It was really special but other than that, I really had no knowledge at all about pregnancy and birth. I just knew that I wanted an unmedicated birth. Where I came up with that, I’m not sure, but I just was going to trust my doctor. That’s where my brain was at. I went to my normal OB who I had always gone to and it was a very small practice. There were three doctors and a nurse practitioner and up until this point, I had always seen the nurse practitioner. She confirmed my pregnancy and she advised that I limit my exercise from what I was currently doing and to only maybe just walk and do some light cycling. Meagan: Oh my gosh. My OB said the same thing. I was wanting to run a half marathon and he was like, “Oh no, you’re having too much round ligament pain. Just go for a walk.” I was like, “What? Okay,” so I stopped working out. Amanda: Right. That’s exactly what happened to me. Now I know that was the first red flag of this practice, but I didn’t know at the time. I was just like, Okay. Listen to what the doctor says. So I just kept going to my appointments and I generally felt okay but at my appointment check-ins, my blood pressure started to be high. They would put me into the room and I would lay down on my left side and they would have me do the whole appointment that way and then they would check my blood pressure at the end and it would be okay so they would have me come back in a couple of days for a re-check and it would be okay. We just continued on that way until I circled through all of the doctors and back to the nurse practitioner. She was really the only one who seemed a little more concerned than everybody else about what was going on. Monitoring for preeclampsia Amanda: I got back to her and she sent me to the hospital for a blood pressure monitor. It wasn’t super high so they sent me home, but they told me to do a 24-hour urine collection. I did that and my protein in that came back at 299 and she said, “Well, 300 is preeclampsia so we are just going to keep monitoring it.” Meagan: Mhmm, okay. Amanda: Okay. That’s exactly what I said. Meanwhile, I’m not exercising. I’m just taking my prenatal and going to these appointments. I didn’t have any preeclampsia symptoms either. I had no headaches, no spots, no swelling. I just felt yucky. I just chalked it up to pregnancy. I thought, Okay, I’m pregnant. This is what I should feel like. Meanwhile, people around me are pregnant and they are like, “I feel fabulous. I love this.” I was like, I don’t love this. This is not great. I’m excited to have a baby but I don’t love it. I also got carpal tunnel. Meagan: That is a thing by the way during pregnancy that people don’t talk about. Amanda: They don’t and I didn’t know about it. My doctors were just like, “It’ll go away when the baby is born. It will go away when the baby is born.” I’m like, “But I’m really in pain. My poor husband has to cut my food. I can’t function here.” Finally, one of the doctors said, “Well, if it hurts that badly then you can go to a hand and wrist doctor.” Okay, so I did and I ended up getting a cortisone shot because it was unmanageable. I had the braces. I was doing night braces and day braces so that did help a lot. A high blood pressure and getting admitted to the hospital Amanda: In the meantime though, we moved from an apartment to a house. I was the matron of honor in a wedding and then we moved into our house on July 17th. I had a surprise baby shower on August 6th and August 8th which was my 36th week, I had a non-stress test at the hospital. I went into the hospital for the non-stress test. They took my blood pressure. The nurse didn’t say anything. She was like, “I’m just going to take it when it’s over,” which is something I had heard the entire time. I do the non-stress test. She takes my blood pressure again. She says, “You know, the doctor wants to talk to you.” I was like, “Okay. That’s fine.” I go into this little room and the doctor starts saying things like, “Not going home” and “Going into triage” and “Keep you pregnant as long as possible”, so I was like, What? I just couldn’t even process those things. Meagan: And there wasn’t any extra talk of, this is why. Amanda: No. Meagan: Yeah, okay. Amanda: No. I called my husband. I was like, “Listen, you might want to come be with me because I’m not sure what’s going on.” So I go over to triage which was right around the corner and I’m waiting in that waiting room for over an hour. I’m still not thinking there is any type of emergency. They take me into triage and they take my blood pressure which was 214/111. Meagan: Okay. Amanda: Yeah. Meagan: Okay, well that’s high. Amanda: Yeah, so then everyone starts going a little bit crazy. They start giving me medicine. They have me only lay down. I’m not allowed to get out of the bed and they start talking. I start hearing words like, “Possible seizure” and I’m like, “What is happening here?” A nurse finally comes over and says, “We are going to admit you. We just don’t know yet if it’s to labor and delivery or high-risk OB.” I looked at my husband. I was like, “Are we having a baby right now? Are we having a baby?” Then at that point though, that’s when all of the things started happening to me and I was not a part of any of these decisions. Cervadil, Magnesium, and Cytotec Amanda: I realize that that was a very high blood pressure and I didn’t really check it after that, but they do take me up to labor and delivery where the doctor starts with Cervadil. This is on a Monday night. She inserts the Cervadil but I had zero dilation. They also put me on magnesium and when they did the magnesium, they also wanted to give me a catheter because they didn’t want me to move. I said, “I don’t really want that.” At this point, I still felt fine and nobody was really explaining to me– Meagan: The severity of things and what was really happening, yeah. Amanda: Right, right, right. So then they were giving me the saline. It was just so much fluid so I had to use the bathroom a lot. They were just letting me use the bedpan and teh nurses were so irritated by me. They would just stand there and watch me. I just felt horrible. It just was a very uncomfortable experience. Then there was the magnesium which– Meagan: Bleh. Thumbs down. Amanda: Yes. It was awful. I just felt terrible. They also gave me a shot for lung development because I was only 36 weeks. Yeah. My water broke on its own but that is the only part of labor that I experienced at all with him. After my water broke, they gave me a dose of Cytotec, and literally nothing happened. Not one thing. My blood pressure was still unstable. The magnesium made me feel awful and then I felt decreased movements. I just kept telling the nurses, “I can’t feel the baby moving. I can’t feel the baby moving.” I was scared. At one point, we knew nothing was happening. My husband and I actually called the doctor and said, “Should we have a C-section? Is this what is going to be happening?” They said, “No. Let’s just see how this plays out.” Looking back, I’m shocked that that was the answer they gave me because of everything else that was going on. They just kept doing cervical checks and they were very uncomfortable because I had zero dilation and I didn’t know I could say no. In fact, one doctor came in. This was actually the doctor who ended up delivering him. She said, “Do you want an epidural?” I said, “No. I don’t even have any pain.” She said, “Well then, you need to let me check you.” Meagan: Wait, because you didn’t want an epidural then you had to let her– what? Amanda: Right. I think she was saying this because I was acting like it was uncomfortable. I mean, it was uncomfortable. I wasn’t acting. Then they gave me another dose of Cytotec. Nothing is happening. Now this is late Tuesday night. My blood pressure is all over the place. They keep giving me different doses of medication. I was on fire from the magnesium. I just kept saying, “This room is so hot.” They said, “But it’s the coldest room in the wing.” “I don’t care. I’m burning up.” Meagan: You’re like, “My skin feels like it’s on fire.” Amanda: So they gave me a fan. That was their accommodation for that. Consenting to a Cesarean Amanda: It was around 12:45 so now this is Wednesday morning at 12:45 AM. The doctor comes in and she is just sitting on the end of my bed. I was in and out of awareness. I remember having her be there, but the magnesium is terrible. They just kept taking my blood pressure and she just kept giving me medication. All of a sudden, she stands up and she says, “We need to do a C-section right now.” I still don’t know to this day if it was a decel. I don’t know if it was his heart. I don’t know if it was my blood pressure. I don’t know what happened that made her stand up, but I just remember watching that happen and the look on her face. They were laying me down. They were giving my husband scrubs. I’m signing all kinds of consent forms laying down and then they gave me this awful drink for nausea and wheeled me into the OR. Because I had the magnesium, they were lifting me. I wasn’t allowed to do anything by myself and I forgot to mention that since I wasn’t exercising or doing anything, I gained 90 pounds during this pregnancy which was terrible but I didn’t know. I wasn’t small and they were moving me around. I get a spinal. As soon as I got the spinal, I said, “Oh my goodness. I’m going to be sick.” I just felt so nauseous and I remember the anesthesiologist behind me saying, “It’s okay. We’re ready,” and other people saying, “Lay her down. Lay her down.” They immediately lay me down and then I vomit into the bucket. Meagan: Oh yeah, that’s the most miserable feeling. Amanda: It was terrible. He was ready. He did have a bucket. He wasn’t lying, but then they squirted something on my stomach and I just remember saying, “I can feel that. I can feel that.” The doctor says, “Yeah, but is it cold?” I said, “No.” She says, “Starting incision.” She just is going. Throwing up during the C-section Amanda: Literally every time they pushed on my stomach, I was throwing up. Every single push and shove they did, it was awful. It was awful. But at 1:38 AM, our first son was born and there was one squeaky little cry and then he stopped and the NICU team got to work on him. They were about to take him up to the NICU and God bless my husband. He stops in front of the door and says, “Can she at least give him a kiss first?” They brought him over really quickly. I got a kiss and then they took him away. All was quiet. I was still nauseous and I just remember the anesthesiologist saying, “They’re just putting you back together. Why don’t you try to take a nap?” I was like, “Um–” Meagan: Okay. Amanda: Right. Needless to say, the bedside manner all the way through was not great. Meagan: Not great, no. Amanda: But once I got into recovery, I was just holding onto the fact that they said I could see my baby in 24 hours. I was like, Okay. I just have to make it 24 hours and they will take me to see him. I set an alarm on my phone. I am pumping. They gave me the pump. I am pumping. Any colostrum I am getting, I am sending up to the NICU. My blood pressure is still not settling down. Waiting 32 hours to hold her baby Amanda: 24 hours goes by. I call the nurse. I’m like, “It’s 24 hours. Take me up to see my baby. Please take me up to see my baby.” She’s like, “Well first, we have to take your blood pressure.” It was not good. She was like, “Wait 2 more hours and then we will check.” I was like, “I just waited 24 hours and now I have to wait 2 more.” They take my blood pressure again and it was fine. I was like, “Yes. I’m going to go see my baby.” They were like, “Well actually, you have to walk and go sit in this chair first and then we can take you up. We have to take your blood pressure from this chair.” I sit in the chair. My blood pressure is not good. “Oh, you have to get back in bed. We can’t take you up.” At that point, I just lost it. I was like, “I can’t.” I told my husband, I was like, “You have to tell people to stop texting and stop calling. I cannot do this. I just don’t understand what’s going on here.” I did not know it at the time, but after they got me back in bed, my husband went back into the hallway. He told the nurses. He was like, “You have to take her up there. You have to take her up. She has to see that baby.” Sorry. Finally, the nurse came in and she checked my blood pressure and it wasn’t great but she thankfully had I guess fewer patients so she came up to the NICU with me. She did take me up there and after 32 hours, I finally got to meet him and hold him but as soon as we were together, both of our health’s dramatically improved. My husband knew that that’s what we needed. I’m so grateful that he did that. Meagan: Absolutely. Amanda: I ended up staying admitted for 5 days because they just couldn’t get my blood pressure situated and then our son Jeffery David came home after 11 days. Physically, my healing was okay because I had 11 days of sitting. Meagan: Hanging out in the hospital not doing much. Amanda: Yeah, and you know, God bless my family and friends who drove me to the hospital every day to go see him. Some of them sat with me for hours and hours and hours just because I was by myself but my mental healing was not great. Because of everything that happened, I had just closed the chapter on kids. We were apparently one and done. I told my husband, “I am not doing that again.” I mean, I was on blood pressure medicine for 2 years after that. Meagan: Wow. Amanda: Yeah. It was bad. I just said that I always wanted more kids, but I’m not going to do that again. That was terrible. Finding The VBAC Link Amanda: So my son was about 2 and I was listening to a different podcast. They were interviewing these two doulas who had VBACs and I was like, Who are these women? Then obviously, it was you guys. Meagan: That’s awesome. Amanda: I went over and I found The VBAC Link. I was like, Oh my gosh. I didn’t even know a VBAC existed up until this point. I was listening to your podcast and I listened to all of the episodes and then I finally said to my husband, “Listen, I found this information. It’s really inspiring and really informative and if we ever had another baby, this is what I want to do.” He is the most supportive person that exists. He is my biggest fan and biggest cheerleader. He was like, “Okay. That’s fine.” With a list of questions from your website, I went and found a new OB who I interviewed and I decided that they were supportive because aside from answering all of those things positively, she could also tell me the nearest provider who delivered VBAC twins and the nearest provider who did VBAC breech births. Meagan: Wow, that’s awesome. Amanda: She said, “It’s not here, but these are the two places that you could go.” I was like, Okay, I feel like this practice will work. It was also much, much bigger. They had two midwives on staff which I was very interested in because I’m definitely more of a midwifery mindset. In the meantime, I also went to pelvic floor therapy and while she fixed a lot of internal things, she also did a scar release which was very intense but very, very needed. I didn’t know that until I had it and then I was like, Oh my gosh. I didn’t realize how uncomfortable I was just living my life all of the time. It was amazing. Meagan: How game-changing it really is. Yeah. Not even just for birth, but for life like you said. Amanda: Yes. I couldn’t even sit criss-cross applesauce just because I had so much tension in my hips and everything. It fixed so much. Praying for a baby Amanda: Then my son is approaching 4 years old and then one night we were saying our prayers just he and I at night and he says, “I pray for a baby in mommy’s belly.” Meagan: Aww. Amanda: I was like, “What?” Meagan: “What did you just say?” Amanda: Yeah. There was no one pregnant around us at the time. I didn’t even know at that time that he knew that babies in bellies were a thing. That continued for weeks. I never once reminded him. Every single night, he would pray for a baby in Mama’s belly. I talked to my husband. I was like, “We need to address this one way or another. We either need to tell him that that is not happening or we need to have a serious discussion.” So since I’m here, you know what we decided on. Meagan: Spoiler alert. Amanda: We were blessed with a second pregnancy. Now, the day I took that pregnancy test, I went on The VBAC Link website. I looked up your doulas and I found doulas in my area. I just kept scrolling back to this one profile that just kept speaking to me. Her name was Mallory. I sent an email to her which was “Seeking doula, have questions”. She wrote back to me and that is actually who I ended up having as my doula. She was literally with me from day one. But I started this pregnancy at advanced maternal age because I was 35 at the time. I was plus-sized so while I wasn’t 90 pounds heavier, I had lost some weight, but I still had a higher BMI. I also consistently worked out 4-5 times a week and I was loaded with information. I had a new OB and I instantly became their worst nightmare. I know it because– Meagan: Because you had all of the information. Let me just tell you. Providers, I think it catches them off guard when people come in and have information and they are like, “Oh, wow. This lady knows what she is talking about.” That’s how it should be. We should know what we are talking about. Amanda: I agree. I always say that I wish there was a second-time mom the first time because I just went in armed with so much information that I never would have gotten if I didn’t have such an awful experience the first time. I started taking a baby aspirin every day just because of the blood pressure issues before. Scared or scarred Amanda: This is a much larger practice. Like I said, they had two midwives and as I rotated through those doctors, I realized that some were supportive, some were tolerant, and some were scared. Meagan: Oh yeah. I like that you say that. Scared. Because I think that’s the case with a lot of the “unsupportive providers”. I think they are scared or scarred. Amanda: That’s a good point. Yeah. That’s a good point. Meagan: They just haven’t had a great experience. Amanda: Right. So along with all of this medical information, I also am very strong in my faith and I was having a hard time. I was having an internal struggle because I had all of this information and I wanted this so badly but I was struggling with the fact of what if this wasn’t God’s plan? I was fighting for all of this stuff and what if it wasn’t His plan? I shared that with my doula, Mallory, and she actually said to pray then if this is not Your wish, then take the desire away. Meagan: That just gave me the chills. Amanda: Yeah. I wanted to share that because it changed me so much. I prayed it every single day of my pregnancy and the desire never went away. I felt like it was okay. Because I was able to pray that and the desire was never going okay, I just felt so strongly and continued going along in this happy, healthy fast pregnancy. There were no physical issues. I had no carpal tunnel. I gained a total of 16 pounds. Total. I mean, I worked out up until 39 weeks. At my 39-weeks, I was doing body pump. I lifted the weights over my head. The instructor was like, “How long are you going to do this for?” I was like, “Actually, I’m all done today.” Meagan: Today is the last day. Amanda: If I knew though that I was going to go to 41 weeks, I probably would have kept going but I just wanted to some time to be done with the gym and just get in the right mental space. Signs of wavering provider support Amanda: At 30 weeks though is when the support started to waver a little bit. There were more questions about heart decels and reminding me of the continuous monitoring. At 32 weeks, I was having a scan to make sure baby was head down and I had been going to the chiropractor this whole time. This baby liked to hang out transverse. Before my 32-week appointment, the night before, I went to the chiropractor and I was like, “Listen. I know you have been doing Webster the whole time. I have an appointment tomorrow. They are checking to see if he’s head down. What can you do?” He’s like, “I got you.” So I don’t know what he did, but I was driving home from the chiropractor and it felt like I was on a rollercoaster. You know how your belly does that flip? It was so intense at one point that I actually pulled over and chilled for a minute. It was just so much movement happening. The next morning, I went to my 32-week appointment and he was head down. Meagan: Awesome. Amanda: That was pretty cool. Then at 36 weeks, they started to pull the big baby card. Meagan: Oh yeah. Amanda: They gave me an ultrasound and they said that the baby was measuring 11 pounds. Meagan: Whoa. Amanda: I said, “That is impossible.” First of all, I gained 16. There’s no way 11 of that is him. Then they were like, “Well, you do have a high BMI.” I was like, “That does not mean that he is going to be a big baby.” I had the article that I brought with me about all of the evidence and I declined a re-scan. That blew the receptionist’s mind. I said, “No. I’m not.” She said, “Well, the doctor said you have to.” I said, “I don’t have to though so I’ll make my next appointment, but it’s not going to be for an ultrasound.” That night, I actually got a phone call from a doctor who was like, “Why did you decline the scan?” I said, “My baby is not 11 pounds. He’s not.” We had a big conversation and we agreed on a different type of scan. Now, I can’t actually remember. I apologize. I can’t remember what kind it was. They took different measurements but at that one, he measured 6 pounds. Meagan: What? That’s a dramatic difference. Amanda: I know. Where I thought, that’s where I thought he was going to be in my head so then I was given the green light to proceed with the way I wanted to. This whole time, I just had such amazing support from my husband but also from my doula. She would check in before every appointment. She just was amazing. I would be in the parking lot and the text would appear, “How are you feeling about this?” Then when I would come out, she would check in with me. In fact, even before recording this podcast, I got a text from her, “How are you feeling about this?” I was like, She is a gem. But I got the green light. Meagan: We should have had her on. Amanda: I know. I did think about that. I feel so bad. Meagan: That’s okay. That’s okay. Amanda: She’s got a new newborn of her own. I know, it’s wonderful. At 36 weeks, I also started to get the on-call schedule of all the doctors. I would say, “Who is working this week?” I would keep it in my phone so I knew who would be working because there was one doctor who at an appointment told me directly that she is terrified of VBACs. I knew that I should avoid her at all costs because I just knew that if I had her, she would find some reason to deem it C-section worthy. Physical and mental preparation Amanda: Throughout this pregnancy, I’m doing chiropractic care. I’m drinking raspberry leaf tea. I’m eating the dates when I was supposed to eat the dates. I also went back to pelvic floor therapy and told them that I want to have a VBAC. Help me prepare for that. That was wonderful. I became so passionate about this whole thing. Everybody knew. My poor coworkers had to listen but if there was anybody around me who was getting a C-section, I had to tell myself, “They didn’t ask you. They didn’t ask you. They don’t want a VBAC.” Meagan: I know. Amanda: I also got acupuncture because I was just trying all of the things. Also, in The VBAC Link Facebook group. I found someone was Catholic affirmations that they had made. She shared that file with me so I had them all printed out. I was ready to go and then my due date comes and my due date goes. Meagan: Hello, goodbye. Amanda: Yes. I had never been pregnant past 36 weeks before so I was like, Well, this is pretty awesome, but I felt incredible. I still was coming to work. I came to work on my due date and my principal was like, “I did not expect you to be here today.” I thought, Don’t underestimate me just like those doctors. I’m here. Contractions begin So on a Monday, I was 40+3 and I had an appointment. I saw a midwife at the practice who was actually a VBAC mama herself. She and I just had this vibe and I was like, Yes. I love her. I knew at that appointment at 40+3 that I was going to ask for a membrane sweep. So I did and she tried but I wasn’t dilated at all. She was really giving it her best shot, but she couldn’t do it. I felt fine. I was fine with it, but I was also a little disheartened because I knew that pressure was going to start coming from the providers. This is where my BMI came in handy because I could qualify for an early induction because of that because like I said, I had the work schedule and that doctor who was terrified of VBACs was working on Friday. Meagan: So just a couple of days later. Amanda: Yes. Yeah. This was Monday at this point, so I scheduled an induction for Wednesday. I was like, Okay. Let me give myself a couple of days to see what I can do, but I also knew I didn’t really want to go too far past 41 weeks because I know at 42, the risks go up and I knew time was of the essence. After that appointment, I go back to school and I’m standing on the playground with my partner. There are all kindergarteners running around and running around. I felt this intense squeeze in my belly. I looked at my partner who has had three babies and I was like, “Oh my god, what does a contraction feel like?” I was like, “I think I just had my first contraction.” We were just cheering out there and they continued every 10-12 minutes all the way through Tuesday. I come to work on Tuesday. I was still having contractions but they weren’t increasing in intensity so it was okay. Meagan: Yeah, just happening. Amanda: Yeah, but Tuesday, I did decide to leave work early. I just checked in with my principal and I said, “I think I’m going to go home. I think being in a better headspace knowing I’m home and relaxed might help.” As I was leaving, one of my coworkers who had a C-section several years ago came up to me and she said, “There are a lot of women who would love to be in your shoes so good luck.” I thought that was really special. Meagan: Mhmm. Amanda: I appreciated that. I knew. I was like, Yes, I’m doing this for me and for a lot of people. So anyway, sorry. I was in constant contact with my doula. I go home. My contractions are increasing to 7-10 minutes apart. They are more intense at night. Now they are 5-10 minutes apart but I still decided to go to the hospital on Wednesday morning for the induction because I know my body. With my first baby needing the NICU, I knew that as much as I would dream of a home birth, I know that I was afraid in case intervention was needed and I knew that my body would just relax when I knew I was in the place where the interventions could be if I needed them. Advocating during labor Amanda: I send my son to preschool and I go into the hospital with my birth plan and all of the things. I tell the doctor I want Foley but no Pitocin. He was like, “Uh,” and then he watched me have a contraction and then he said, “Are you having contractions?” I said, “I am.” He said, “Okay, we can do it then.” I got the Foley and he also when I was talking with him about my birth plan said, “Listen. We all read it and we want this for you.” I just thought that was a cool thing for him to say. Meagan: Validating. Amanda: Yes. So I’m in New Jersey and here, VBAC after two C-sections is not a thing. I knew that this was really my chance and I also knew that really, two was enough for me. I knew I wanted two children to make our family complete and that was it. One of the things for a VBAC here in the hospital and with the practice is continuous monitoring. Trust me, I tried to not have them do that. Meagan: It’s a real fight if you decide to try to fight it and that’s really common everywhere. Continuous fetal monitoring is usually pushed really hard and it’s one of those things where it’s like, is it worth fighting for to you? You have to weigh it out because you really do have to put up a fight. Amanda: I tried, but like you said, I wanted the VBAC more so I was like, Okay, fine. We can do this. They did thankfully have a portable monitor because I really wanted to labor in the shower. They had a portable monitor. It could go in there. I was like, “Good. We’re golden.” But then my baby did not want to be on the monitor so he kept falling off but there was no decel. There was never a concern. Meagan: Just loss of heart rate because baby moved away. Amanda: Because the monitors fell off. Yeah, so at one point, one of the midwives– not the VBAC midwife, the other midwife– comes in and says, “We’re just going to put an internal monitor in.” I remember my doula looked at me and she said, “Do you know how they do that?” I said, “No,” so then she explained that to me and I declined. Meagan: Yeah because they do have to break your water to do that. Amanda: Oh, I’m sorry. My water did break. Meagan: Oh, your water did break. Amanda: I apologize. I missed that. Gosh darn it. Meagan: I might have missed that. Amanda: No, I missed it. I missed it. But I didn’t want the internal monitor. I just didn’t feel like that was right for me. I was like, “I’ll just keep struggling with this. He is safe and happy and comfortable. I’ll be fine.” The night nurse Amanda: Everything was going fine. My body was doing it. I didn’t need Pitocin and I was loving labor. Everything that I had practiced and done and just my head space was good and I had listened to some fear-release meditation prior to this and it was just wonderful. I was living in labor land. It was wonderful. Then shift change happened and the night nurse came. The night nurse was very, very intense. My day nurse would let that monitor ride a little bit without being on. This night nurse was not having it. Continuous monitoring meant continuous monitoring and she felt that she needed to do that 3 inches from my face with her hands just pressing and touching me and I really was feeling very overwhelmed by her. Meagan: Yeah. Amanda: I was trying to ignore her and they brought in the bar and I was laboring on the bar. It was wonderful but I still remember that I could smell her breath through her mask. It was too much. She was too much. I said, “Please can I labor in the shower and then we can get together?” She was like, “Okay, as long as baby stays on the monitor." I was like, Please baby, stay on the monitor. So I get in the shower and I was like, Okay. We’re fine. Life is good. This is wonderful. I feel great. I’m rocking. It’s great. Then I hear the bathroom open and I turn around and she is standing there in a full raincoat. She’s got a head cover. Meagan: A raincoat? Amanda: She’s got a plastic gown on, plastic shoes, and she comes in the shower with me and is trying to adjust this monitor. Meagan: Oh dear. Amanda: I lost my mind. I don’t remember what I said but all I remember is screaming at her and her leaving but telling me I had to come out of the shower. So she leaves and I walk out and my husband and my doula are just snickering because I just kicked her out. But I was like, “Why is she in the shower with me?” I get dried. I get redressed. I’m back in the bed and she’s back. Then my blood pressure starts spiking and I start hearing, “High blood pressure, high blood pressure.” I’m like, Oh my god, it’s happening. Meagan: It’s her. It’s her. Amanda: Right, but I got scared because of what happened before. Meagan: Of course. Amanda: I was like, “I can’t have this.” I remember Mallory looked at me and she said, “Do you want an epidural?” I didn’t initially want one because I wanted to feel this. I wanted to feel all of this. She said, “It would just be a tool to reach your ultimate goal.” Now, I knew two things at that time. It was one, an epidural would help keep me still which was going to help keep this monitor one and two, it’s known for bringing blood pressure down. So I agreed. I was kind of sad about it, but I knew ultimately that I was going for the VBAC. That’s what I wanted so I had to keep that in my sights. In my head, I didn’t say this out loud, but I said, “Okay. If I am a 6 or less, I will get an epidural.” I had a doctor come in and check and I was a 6. I get the epidural and obviously, it doesn’t work so I get a second epidural. Meagan: Oh my gosh. Amanda: It was lovely, but that one did work. That brought my blood pressure back to normal and I was still, but then man. Between my husband was helping my doula and she had the peanut ball and she was still moving me. She was holding that monitor on. She was watching that monitor for me. It was just amazing but the problem was that the epidural stopped my contractions. Meagan: That is a downfall that can happen. Amanda: Yeah, so then I did consent to Pitocin at that point because everything stopped. “It is done.” Amanda: I had the epidural. I had the Pitocin. Things were progressing. I was dilating. We were moving me as much as you can with the epidural and then around 4:00 PM, my epidural wore off and I felt it wear off. I was like, Oh my gosh. At 4:45, the midwife came in and she checked me. She said, “Oh, you are 9 centimeters. This is wonderful. I’ll be back in a few hours.” I’m thinking, A few hours, I don’t feel like I have a few hours here. I felt my body start pushing all by itself. I was like, Oh my gosh. This is amazing, but I was like, “You have to get her back here. I know she said I was just 9, but you have to get her back here.” She came back and she said, “Oh, you’re 10 already. Let’s do a practice push.” I was like, “Wait. I need the mirror. Where’s the mirror? I want to get the mirror.” There was a full-length mirror that they brought in and I thought there was going to be a little hand mirror situation so I was really happy with the full-length mirror that came in. She said, “Let’s do a practice push,” and she was like, “Oh, you are an excellent pusher. You’ve got this.” I’m watching in the mirror and I hear from the hallway, “Don’t let her push until I get in here!” And it was the doctor that I originally interviewed. She came in. She said, “I want to see this through.” Now, meanwhile, I had not seen her throughout my entire pregnancy as one of my providers but I thought that was so cool that she remembered that and came in for this. It was the midwife, not the VBAC midwife but another midwife and her were there with me and as I started to push him and his head came out, the midwife said, “Oh, do you want to feel his head?” Before I could even answer yes, the doctor said, “Oh, she does,” and takes my hand and I feel him. I’m pushing. I’m watching. My doula is taking pictures and all of a sudden, the midwife is blocking the mirror. I’m like, looking at her and I’m like, “I can’t see.” I’m hearing her say, “Amanda, Amanda, Amanda.” Finally, I look over and she’s blocking the mirror because she is holding my baby in front of me. Meagan: Oh my gosh! No way. Amanda: I was like, “Oh my gosh!” Then I’m looking at him and then there is a bright light behind him and I feel this moment of peace and I feel in my heart and I hear, “It is done.” I just know that God was there with me the entire time and I’m so grateful for that. My husband got to cut the cord and I got to hold him immediately– well, we didn’t cut the cord until it stopped pulsing. he was so cute. He was like, “She told me to wait until it’s white. Is it white? Is it white? Is it white?” It was just wonderful and he cut the cord. I got immediate skin to skin and I got to do his first latch right then and there which was so different. It was so different than my son. It was just such a redemptive, wonderful experience. I just am so grateful to The VBAC Link for seeing me through it and for giving me the information and just the inspiration to even take this on because if I had never found you, I don’t know for sure if I ever would have gone through with it. So, thank you so much for that. Meagan: Oh my gosh. You are so welcome and thank you for sharing this beautiful story. I’m looking at your photo right now and oh my heck. I don’t know who took it– Amanda: My doula, she took it. Meagan: Mallory? Amanda: Mallory. Meagan: Mallory killed it with this photo. I mean, seriously it is beautiful. Amanda: Thank you. Thank you. Meagan: I highly suggest if you are listening right now, head over to Instagram or Facebook and check out this absolutely empowering photo. The emotion, oh. Congratulations. I’m so stinking happy for you. Amanda: Thank you. Thank you. Thank you. It was quite a journey. Importance of lactation support Amanda: I just wanted to add one more thing if I could. Meagan: Yes. Amanda: I got to nurse Jeffrey David eventually, my first baby once he left the NICU but it was a rough time and then with Charlie, my second, I got to latch him right away and I am still nursing him now. He’ll be 3 in June. I just want to say just like you get doula support for your birth, get yourself some lactation support if breastfeeding is the way you want to feed your baby. Meagan: 100%. 100%. Amanda: Yeah, so I used my friend, Lauren. She is from Cozy Latch Counseling and she has seen me through this entire process. I went back to work. I was able to pump and provide milk and now like I said, he’s almost 3 and I’m still able to do that. If I hadn’t had that lactation support from the very beginning, I don’t know if that journey would have been as successful as it was. Meagan: Yeah. I mean, I full-on believe having lactation support even before the baby is here to talk about it. Talk about your plan. Discuss what you are wanting, your desires, your needs, and then getting that help right away even if it’s your second, third, fourth, or fifth baby. Everyone is so different and I love that you brought that up because definitely, we are passionate about that for sure as you know or if you have been listening. We love The Lactation Network. We absolutely 100% would agree with you on that. Oh my gosh, well my face is just so happy. Can you just see my face right now? Amanda: I can. Meagan: I’m just smiling so big. My cheeks are throbbing a little bit, but that’s a good thing. I’m just so grateful for you. This is such an amazing episode and congratulations again. 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