Episode 337 Lauren's Surprise Unassisted HBA2C with a Special Scar & Gestational Diabetes

Lauren joins us today from Australia sharing her two Cesarean stories and her surprise unassisted HBA2C story! Lauren’s first birth was a crash Cesarean under general anesthesia at 40+1 due to nonreassuring fetal heart tones. Her second birth was a TOLAC going into spontaneous labor at 40+3 under the midwifery model of care. She labored naturally, had an artificial rupture of membranes at 6 centimeters, baby was posterior, and didn’t descend. She pushed for an hour then had a spinal given to help baby manually rotate. Lauren’s birth ended in a CBAC which she later learned included a special scar along with the diagnosis of CPD (Cephalopelvic Disproportion). Two years later, Lauren was vigorously planning for a VBA2C. She had her birth team picked out and was ready to go to the hospital for when baby would come at what she thought would be 40 weeks again or later. At 38 weeks and 2 days, her husband went on a work trip 3 hours away and her mom, who was planning on caring for her boys during the birth, was an hour away on a day trip. Lauren’s labor began in the evening while she was alone with her two boys and ramped up extremely fast. With the help of her doula and paramedics supervising, Lauren labored and gave birth to her baby on the bathroom floor in just 2 hours from start to finish! Needed Website How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Meagan: Hello, Women of Strength. You guys, we have another story coming from Australia for you today. We just recently had an Australian mama and I love our Australian episodes because I cannot get enough of your accent. I love listening to you guys. We’re so excited. We have our friend, Lauren, and we have our little baby. Lauren: Yes. Little Wren’s awake and joining us. Meagan: It’s 11:00 PM there so she stayed up extra late to record with us today. We are going to get into her stories. You guys, she had two C-sections. Lauren: Yes, two Cesareans. Meagan: And then a surprise. I feel like you really had very unique things. You had an OB and you were under general– Lauren: For my first. Meagan: Then you were with midwifery care and then a surprise which you are going to be sharing here in a second. You guys, I’m really excited to hear her stories. We do have a Review of the Week and it’s called, “So Grateful I Found This Podcast” by shinefortheworldtosee . It says, “After having an emergency C-section last year, I struggled with all of these displaced emotions. Here I was so grateful for my healthy baby but I found myself feeling hurt like I had something taken from me that I struggled finding a safe place to share and it felt as if no one around me had ever experienced the same thing I did. This podcast and group of women are my safe place. I am expecting baby number two and am so, so grateful for the empowerment that those stories told here have given me. I am so excited to try for a VBAC this time and the more I learn here, the more confident I become. “Thank you from the bottom of my heart for making this podcast.” You are so welcome. I love this podcast so much. I love all of the stories. I love the empowerment, the encouragement, the education, and also, I’m a big person who relates. I love relating. I think it brings validation to my heart when I can relate to someone because like this listener said, she felt alone. She didn’t have anybody else in her space and this space is so amazing because even if it’s a different outcome or there are different parts of the story, there are usually little blurbs of each story that you can truly relate to. Thank you so much for your review, shinefortheworldtosee . As always, if you haven’t yet, please leave us a review. We are always so grateful for them. Meagan: Okay, cute Lauren. Oh my gosh. Thank you so much for staying up way late because by the time we are done recording this, it’s going to be midnight. Oh my goodness. Oh my gosh, thank you. Lauren: That’s okay. I got the time and said, “Oh, it is late,” but I was so excited anyway. I just can’t wait. With that review, I was thinking the exact same thing. I remember when I found the podcast, I can’t even remember. I was trying to think how it popped up. I didn’t even know VBAC was a thing after my first birth. I just remember listening to it and so much of it resonated. I could relate to those little bits. It was like I was meant to hear it. I just had that strong feeling when I started listening to the podcast. I’d be crying in the car and it was just so powerful. It definitely was life-changing when I found the podcast. Huge. I feel like there are so many situations where you’ve never met them ever in your life. Sometimes we don’t even know where they are at and it feels like they are literally sitting on the phone talking to you. Lauren: Speaking to you, yes. Meagan: Speaking to you. Yes. Lauren: Yes, exactly. I felt it. I was just like, This is what I’m supposed to be listening to at this exact time because it was speaking directly to me. It is so special what you have created. I think there is a podcast now in Australia for VBAC but there was never anything before and I would just eat them up. I’d be waiting every week for the podcast because I would be– Meagan: Is it Ashley’s? Lauren: There’s that one. I think I’ve listened to her podcast with you actually. There’s the “Australian VBAC Stories” as well. They are only maybe up to 8 or 10 episodes so they are quite fresh. Meagan: Yay. Lauren: I just love all VBAC stories. I could listen to them all day. Meagan: Absolutely. Well, let’s get going on sharing yours. Lauren: Yes. Okay, so my first birth was– I got pregnant in 2017. We’ve got three little ones now. Nate was our first baby. We had private health insurance. A few of our friends had gone private. Some of them had gone public. Some had Cesareans. Some had natural births. I hadn’t really had a plan of what I wanted to do. I always knew I wanted to have children but I hadn’t really given much thought to the pregnancy or the way of birth or anything like that. We just signed up with a private OB. I think from our GP, you get a referral then you start seeing them from about 16-20 weeks. You get all the regular scans. Everything was really straightforward. We were really fortunate with our pregnancy. We found out we were having a boy. We found out in– I think I’ve written it down– January. I had morning sickness for the first 3 months then I had a bit of Vitamin D deficiency so I had to take supplements throughout the pregnancy for that. I had a growth scan around 36 weeks. Now, I obviously know after doing a lot of research that there’s no real need for it and it’s just something to give them ammunition to schedule the big baby and the scan actually came back that he was measuring fine. I was like, “Yep, that’s good.” Being a first-time mum, I was so excited to see him on the ultrasound anyway. Meagan: That’s what I was going to say. I feel like they get you especially for first-time moms but really in general because it’s so fun to see our baby. Yeah. Lauren: Of course I want to see him. Definitely. Meagan: We get in there and they’re like, “We’ll do this plus you’ll get to see your baby.” You’re like, “Well, I haven’t seen my baby since 20 weeks, so okay. I’ll do that.” Lauren: And you don’t know any different so you’re just like, “Yep, that seems fine.” I think we even did a gender reveal and I think my husband’s cousin mentioned something about her friend doing Hypnobirthing. I remember I just wasn’t in the right place to hear that at the time. I’m like, I wish I would have listened but it just wasn’t meant for me at that time. I took maternity leave. I had 4 weeks off because I thought, Whoa, from 36 weeks the baby could really come any time. Looking back, I know 40 weeks is not even your due date. It could be any time, anywhere. Meagan: Estimated. Estimated. Lauren: A guess date I’ve heard a lot of people refer to it. And first-time moms tend to go over the 40 weeks so it’s not uncommon. I remember it being such a mind game toward the end when I was getting closer to the due date. I think my OB offered me a stretch and sweep around 38-39 weeks and I was like, “Yep. I’m ready. I’m over it. Anything that we can do to get the baby.” I didn’t really think of it as being an intervention. I didn’t really know what the word intervention was at that time. I do remember her saying to me afterward something like, “Oh, I hope we’re still friends after this,” after she did it. Meagan: Oh. Lauren: I was like, “Oh, that’s a funny thing to say.” Then yeah. I think it was around 39 weeks and there was nothing. It didn’t get anything moving. I was just automatically booked in for an induction at 40 + 1 for postdates which is not even near postdates but I was just like, “Yep, great.” I think like you said before, being a first-time mom, I was just ready to see my baby and over it so I was like, “Yep. That’s great and exciting.” We got booked in. When I went back through my records, I saw on my induction paperwork that it even said, “Small mummy and postdates,” because I was small apparently. Meagan: Nuh-uh. Lauren: Yeah. I’m quite short. But they were already preempting that I probably wouldn’t be able to anyway. We went in. I think we got admitted at 7:00 in the evening. We got ready to do a CTG monitoring and just an initial assessment. When we got in, they said I was having uterine activity but I couldn’t feel anything. It was showing on the monitor I was having some Braxton Hicks or some contractions. They were concerned that the baby wasn’t really reacting very well to that at the time so they called the OB who just happened to continue with the induction. They did a vaginal assessment and I think I wasn’t obviously at anything. They did another CTG for the fetal heart rate and it had gone down, I think, to 90 BPM and had recovered within 2 minutes with a change of position and it had come back to what they were happy with. About an hour after that, they did an intravenous drip in and they did another exam. I was 1 centimeter and my cervix was posterior so obviously, I wasn’t anywhere near ready. I think maybe half an hour after that, there was another decel and it said, with pointless uterine activity. It wasn’t doing anything, but there was something. Then the OB was asked to come in for that. Obviously, the baby wasn’t doing very well when I wasn’t really even in active labor and they were a bit concerned with that thinking he wouldn’t be able to tolerate full-blown labor at that point. So then it was 9:00– so two hours after we got there– when the OB was in the room. They did an ultrasound and were able to determine that I had a calcified placenta and a pocket full of fluid. There was discussion around maybe booking in for a Cesarean just because of the nonreassuring CTG they were having. I awfully now remember feeling a sense of relief and being like, “Oh, good. I don’t have to go through labor and all of that,” because I think probably admitting to myself, I was a little bit scared about the whole labor because I hadn’t done any preparation or any planning. The only thing we had done was the antenatal appointment– what’s the word? The antenatal class at the hospital where they go through it. After we left, my husband was like, “That all sounds awful.” It was just really interventions and how to get the baby out. He was like, “None of those options sound good.” When they said “Cesarean”, I was like, “Oh, perfect. That will be great.” I think at 9:30, we got prepared to go to theater. My husband got in a gown. My mum had actually just arrived into the hospital so it was all exciting. We were going to meet the baby. This was at 9:30. We didn’t know it at the time, but there were a few alarms going on outside our room and there were a few people milling around. I don’t know. I don’t think that was related to us. We got wheeled out on the bed to go to theater and then all of a sudden, Josh disappears and they were rushing us to the theater room. I was like, “What’s happening?” I’ll never forget. I remember– I don’t know who was pushing me, but he said to me, “I don’t think you understand. Your baby needs to come out right now.” We just thought we were going in for a normal Cesarean. We didn’t realize it was changed to a general anesthetic so I started getting upset. I said, “Can I just say goodbye to my husband?” They rushed him back. I quickly kissed him and said goodbye. He gave them his phone and we went into theater. I was sobbing at this point because I just didn’t know what was happening. There was somebody putting a catheter. They were putting the general anesthetic in then I think my OB popped her head in. At least, I knew some sense of calm. She said, “It’s me. I’m here. We’re just going to get the baby out.” I remember I could see them prepping my stomach under the mirror and the anesthetist was lovely. He rubbed my cheek and said, “It’s going to be okay. We’re just going to get the baby.” That’s it. That’s all I remember and then I was gone. After that, I think at the time, I read back on the notes that it was 9:45. It got upgraded to an emergency call. I went under at 9:50 and he was born at 9:52 so it was very quick. He came out. He cried. He was fine. His APGARS were 9 which are healthy. Meagan: That’s great, yeah. Lauren: So fine, yeah. I think he was 3,000 grams which is 6.8 pounds and the surgery was complete at 10:05 so it was super quick in and out. Meagan: Wow. Lauren: He went to Josh straightaway. Poor Josh was obviously just waiting and didn’t know what was happening. They brought Nate out and he said, “Well, that’s great, but where’s Lauren? Where is she?” So then I didn’t make it into recovery until 20 minutes later which I know is still really fortunate compared to what some people experience. It was really quick. When I came to, I was still sobbing I think it must have been because I went under crying. When I came out, I was in tears and I could just see Josh sitting on the bed next to me holding Nate. Instantly, I knew he was okay and he was fine. I was able to hold him and breastfeed him so I think from then on, everything was really quite lucky. We got in straightaway. I think we were in recovery maybe another 20 minutes and then we got taken to the ward. At the time, I don’t think I really registered how full-on it was. I just had a healthy baby. I was okay. Postpartum was a beautiful experience. We were in the hospital, I think, for 5 days together because we were private. Josh got to stay with us. It was like a second honeymoon. We were in there. It was like a hotel where we were getting food. That side of it, I think, was just beautiful and I didn’t really feel like I missed anything birth-wise at that point. That was it I guess with that. Then in 2019, we started thinking about having another baby. I hadn’t really thought too much about a VBAC or what I would do. I guess I was like most people where you just are once a Cesarean, always a Cesarean and there wasn’t another option. I really wish I could remember how I came across it because I can’t remember at all, but I must have found your podcast and I remember listening to it even before I was pregnant. I was just like, I have to try and do this because I never got to experience any labor at all with Nate and then with this pregnancy, I really felt like I missed that and I wanted to have something. I wanted to go into labor and at least try and be given the chance. We were really fortunate and fell pregnant straightaway. That was in 2019 and I knew I wasn’t going to be doing private obstetrician this time so I did a bit of research before I was even pregnant actually with a public hospital that had a midwifery program attached to it. You attended all of your appointments at a clinic and they had a VBAC-specific clinic then you birthed at the hospital. Meagan: That’s awesome. Lauren: Yeah, but you have to apply straightaway. As soon as I got the positive, I filled out the application form and applied directly with them. I got accepted and I was like, If I’m going to go for this, this is going to give me my best chance to go and have a VBAC. I think, I can’t remember how far along I was but I still went. The hospital we were going to is a half hour away but all the appointments with the midwives were only 10 minutes away. That was really good. I knew the drive was a half hour but it was going to be okay. I also had signed up to do the VBAC course with you guys. I got my handout for that and I ate it up. I love that. I went through it and was doing it at night time. After listening to the podcast, I also knew I wanted to do Hypnobirthing so I did Hypnobirthing around 7 or 8 months which was when COVID started to come into the picture. It wasn’t around in Australia but it was happening. The course was supposed to be a group environment with a few classes. We ended up doing an online course which was actually really lovely because when Nate was asleep, Josh and I would sit in bed. We would do all of the Hypnobirthing courses, listen to the tracks, watch the videos, and then we had one in-house visit where we went through all of the positions and acupressure and things like that that I wanted for pain management during birth. That was really good then I think from 37 weeks, I started doing all of the things. I was doing raspberry leaf tea, eating Medjool dates, and sitting on the birth ball. In my head, I felt like I was really getting prepared in the best way possible. Now I know in my third birth, I thought I was but I wasn’t as prepared as I probably could have been. I was still doing more than what I did for my first birth. I had one chiropractic appointment at 38 weeks to get everything balanced and aligned. I never had chiro before so that was all new to me. Then at 39 weeks, I had an acupuncture appointment. I had never done acupuncture before and I loved that. I felt that was really nice. I think it was just my hands and my ankles and then they just put the music on and I felt so relaxed. I really loved that. That was good. I remember when I went in, I said, “I hope I haven’t left it at too late.” They said, “You’re pretty much a first-time mom. You’ve never had labor. Your body has never been through that.” He did some statistics and he said to me that from 40-41 weeks was the average time. I remember with Nate, when I got to 40 weeks, I thought the baby was going to come any day so with this pregnancy, I pushed it out to 41 weeks. In my head, that was when my due date was. I don’t know what I would have done if I got to 41 and I hadn’t gone into labor but I had that I was going to 41 weeks. I had an online hospital tour. We couldn’t go in to see it because of COVID then I had an online appointment at 39 weeks. When you have midwifery care, you still have to be signed off by an obstetrician in the hospital to give you the okay and run through all of the stats and everything. I was prepared to be up against an uphill battle when I went to that appointment. They were pretty supportive. They just talked about postdates, the risk of rupture, and things like that. I said I was comfortable going to 41 weeks and reassessing then so I think that was around 39-40 weeks and then we were rebooked in for 41 weeks if I hadn’t gone in. So then I think I was 40– oh, sorry. I’m jumping around a bit. My due date was a week after Nate’s second birthday so in my head, I just wanted to get to Nate’s birthday and then the baby could come after. We had a little birthday celebration for Nate a few days before I went into labor. We were happy that was done then at 40+3, in the afternoon at about 4:00 I felt a few little tinges but obviously, I didn’t know what anything was so I was thinking this might be it or this could be prodromal labor or Braxton Hicks. I just wasn’t sure. I was like, well, I know from the podcast that I don’t pay attention to it. I’m just going to go about my normal routine with Nate. I’ll get dinner, do bathtime, all of those things, and try not to focus on it too much thinking it might either go away– Meagan: Or fizzle out. Lauren: Yeah. In my head, I’m like, It can take days. By 4:00 it started, then by 7:00, I was getting Nate ready for bed. He was in a cot at this stage. I remember taking a big breath in and slowly exhaling like in Hypnobirthing. I noticed I was having to do that as I put him to bed. I remember being so excited like, This is happening. My body was doing it naturally. I really wanted to try to not get induced if I could avoid it. I remember I really had to focus on my breathing. I was leaning on the bed with my knees on the floor leaning on my bed and just breathing and really trying to relax and listening to my Hypnobirthing tracks. The plan was my mum was going to come over and watch Nate if I went into labor at nighttime. I think it was around 10:00 and I think someone said from one of the podcasts as well to gauge the distance you need to go with how well you are managing and how well the drive is going to take if you’re going to be okay. I called my mum to come. I was like, “I feel like I’m not struggling but it is ramping up a little bit.” I was like, “I don’t know how much longer I can be at home and sitting in the car for a half hour to go.” She arrived. We called the midwives and we let them know we were going into hospital. My mum came and you could just see she was like, “Oh gosh.” She had me naturally. She had three naturals and then her fourth was a Cesarean. She couldn’t understand why I wasn’t trying for a Cesarean because I already had one and why would I not just have another one? Meagan: Why would you not just do that, yeah? Lauren: She came and I remember walking out of my room to the front and I had to stop a few times on the way and stand in the garage and just take a few breaths between each contraction. I went to go sit in the car. In my head, I thought I was going to be on my knees leaning over the chair. I just couldn’t even fit down in that area so I was up against the back of the chair. Obviously, it was not comfortable but I was just thinking if anybody was driving on the freeway and looking, it would have been such a funny sight. I still had my podcast in and I was really focusing on breathing. Josh was just driving. He had never been to any of the appointments with me because of COVID. He hadn’t been to the hospital so we were almost there and his navigation was doing funny things. I had to in the middle of labor try to direct him on how to get to the hospital. We pulled up and I just automatically went to where I would park for all of my appointments which wasn’t in the front of the hospital. I went to get out of the car and I was like, “I can’t walk to the front of the hospital,” so I had to get back in. We drove right to the front and then we went in and we had to get assessed for the COVID triage which was a real pain. We had to wait and do that before we could walk in and get triaged. I think we arrived at the hospital around 11:00. We got admitted at 11:00 at night and then we were triaged maybe at 11:30. By that stage, my contractions were every 3 minutes and lasting about 40-50 seconds. I had a vaginal exam and I was 4 centimeters. I remember just being so excited because I was already progressing. I was hoping I would be further along, but I was like, “4 centimeters is good.” I was 90% effaced and I was thin and soft so I was like, “Oh, that’s good.” I think by midnight we had gone to the labor and delivery suite. They dimmed the lights per my request. I asked to go in the shower because I really wanted to be in the shower. They told me I had to wait until my midwife had come because she wasn’t at the hospital. Meagan: They checked you and got everything assessed. Lauren: Yeah, so I had to wait. That was fine. I was at the stage. I was leaning on the bed swaying. Josh was doing a bit of acupressure on my back and I was really enjoying it at that time. My midwife got there at about 1:00. I was still coping well through it. By 1:30, I don’t think it was my midwife. I think it was one of the hospital midwives who came in and assessed me again. I was at 6 centimeters and I was -2. There were a little bit of complicated decels on the CTG and momentarily in my head, I was like, Oh no, not again. It evened out and it was okay so I think it just must have been a bad reading because of the bulky monitors that they had to put on. They didn’t have the mobile ones. It was the bands that you had to be attached to and monitoring. They suggested to artificially break my waters and I hadn’t felt too much about that in my prep. I think I was just focused on going into labor naturally as opposed to actually being in labor. They asked to break my waters. I had gas for that and I remember getting on the bed to do that which I think was one of my first bad things because then I never got off the bed once I got on there to do that. I couldn’t manage to get back off. I wish I would have known or asked to be helped to get taken off but I was just not in the position to get off the bed. I was stuck there. Yeah. I didn’t remember this but when I read in my notes, they offered me a Cesarean at that point and I was like, “No. I’m trying for a VBAC,” so they said, “That’s okay.” We tried repositioning some fluids and then the CTG was back to where they were happy with it. Then at about a half hour later, I was on my side. I felt a bit of pressure and my sound changed a little bit. I remember my midwife saying to me, “Oh Lauren, that sounded a bit pushy.” It felt a bit pushy so I was like, “Oh, that was really exciting.” That was at 2:00 and at 2:30 in the morning, they assessed me and I was fully dilated. I was so excited. They were seeing some complicated decels on the monitor. I think they said– do you know what the normal heart rate is? I’ve written them all down but they were saying it was 140 without a contraction and then they’d ask the registrar to come in the room so the registrar came in to see what the CTG was doing for progress and pushing. I had a bit of a funny moment. When I was doing the pushing, I was on gas. I must have taken a big inhale of the gas and my vision went dark. I couldn’t see anything. I remember getting a bit scared at that point. I didn’t know what was happening. I could hear everything and I could feel everything but I just couldn’t see. I think it was just from inhaling the gas and the contraction and something. Meagan: It was just too much all at once. Lauren: Yeah. It was really scary but it was a one-off and it was fine after that. Then I think at 2:40, the ped was paged to come in and attend delivery so I think at this stage they still thought things were happening and we were going to have a baby vaginally. 5 minutes later, they gave me an in-dwelling catheter to drain my bladder in case that was creating a blockage for the baby to come down. Meagan: Which is actually something that does happen. Lauren: Yeah. Meagan: If baby is not coming down, sometimes it’s urine blocking. Lauren: Yeah. They said, “Only 50mL came out so it wasn’t a lot,” but I was like, well that was good. At least they tried that. They said the registrar did an IV and said that it was ROP so right occiput posterior so not in a great position and at my spine. They said there was some descent with pushing but not enough. I think that’s when they decided to call to be transferred to theater. The plan was to have a spinal and try for some instrumental assistance to get the baby out. I think at that point, it was quite quick. It was quite intense and I was relieved. I didn’t think I had it in me to push anymore so I agreed to go up to theater and have forceps or manual rotation to help assist the baby out. We got up to theater and I think they called them at 2:40. We got to theater at 3:20 so it wasn’t that long of a wait but it felt like an eternity when my body was contracting and pushing and they were telling me not to push and just to pant through the contractions. I just remember it felt like a really long time. I will never forget that we got to theater. I had to sit up on the edge of the bed and the person trying to put my spinal in asked me to scoot up the bed. I was sitting there mid-contraction and I just remember looking at my midwife and I was like, “You’ll just have to wait until after this contraction and then I can just move up for the spinal.” I got the spinal and they discussed the options of an episiotomy and using forceps to aid the baby. At that stage, I said, “Yep, whatever we need to do,” I would really like to try to get him out. They tried a manual rotation while pushing and his heart rate dropped to 93. They assessed the position and then maybe decided to do the forceps. They must have said that then changed to apply a vacuum because then they did a vacuum and they went to do the first pull and his heart rate dropped to 67. They did another pull and his heart was up at 133. Then a couple of minutes later, they decided to do forceps. They attempted to do the forceps. They applied them and his heart rate dropped to 86 then they reapplied to get a better position around his head and his heart rate again dropped to 75. The baby, even though he had changed position and was now facing– I think his head was facing my back which was OA and he was at a -1 station, they obviously thought he was just not in a great enough position to aid him out so they decided to convert to a Cesarean. I remember at that point, I didn’t feel like it was a failure or I hadn’t done it because they had given me every opportunity to try and I still got to experience so much more than I had with my first birth. Even though I still didn’t end up with a vaginal birth, I got 95% of the way and I was still so happy and proud of my body for getting to that point. I was just like, if they couldn’t even get him out with forceps, there was no way I was going to be able to do it. I was quite happy and content with the decision. They did say he had been down there quite a bit so he might come out not great. Because he was so far down, they did have to– and they did write the word “extract” him which I thought was quite an interesting term to use but the extraction was breech because he was so far low. He came out. His APGARs were 8/9. He was 7.4 pounds and a similar size in length to my first. I think we were there maybe for an hour or two in recovery. He fed straightaway and then we returned to the ward. On my notes, it said, “Repeat C-section due to failed TOLAC.” I was just like, I had that word “failed” but I understand that’s the terminology they used. It says that about an hour later, we had a debrief. They came back into the room and went through all of the happenings and made sure I was okay with it all. They actually discussed any future deliveries and the recommendation for an elective Cesarean. I don’t even remember that conversation. Meagan: Oh really? Lauren: Yeah. I don’t even remember so when I went back through my notes, I was like, “Oh, that’s interesting.” Then in the notes, it also says, “CPD?” I can’t pronounce that word either. Cephalic Pelvic Dysproportion. They said that and then they also said there was a small extension to the upper midline of my Cesarean incision. I had my normal scar and then it obviously had come farther up and it said it was sutured separately on the uterus. I’m reading it in real-time now but I didn’t realize that until my recent birth when I went back through my notes with my midwife. I was like, Well, that’s really interesting. They obviously told me but I must have not registered that at the time. Then obviously we were in hospital due to COVID so Josh wasn’t allowed to stay with us. An hour after his birth, he had to leave and being a Cesarean, I was in hospital for a few days and my other son, Nate, wasn’t able to come in to visit us. I really missed out on us being a family of four for those first few days. Yeah. We got home. I think I was in there for two nights then we got discharged. They met us at the hospital and that drive home was really special. That was the first time they met was in the car driving home. We always knew we wanted a third but it was a lot, the transition to two, and we probably weren’t ready straightaway. We gave it three years then when Call was two, we decided we would try again for baby number three. We fell pregnant really quickly with the first two so we just assumed that would happen this time and we were trying for a few months and it just didn’t really happen. We were trying for 6 months and gave ourselves a bit of a breather and just let it take its natural course because we took the pressure off and then the both of us were saying before the boys were born a week apart in May and we found out we were pregnant with our third in between the middle of their birthdays. It was really special. May has always been a special month but yes, we had Nate’s birthday. I found out we were pregnant then a few days later we had Call’s birthday. So it was really special timing. I knew I wanted to try again. It would be our last baby. If I was going to have a natural birth, it would be this pregnancy. I went to go through the same model of care that I was with Call, but they had changed their practice. The midwife group that I went to no longer existed. It was the MGP so Midwifery Group Practice. They were based in the hospital this time so all of my appointments were in the hospital and they were VBAC-supportive. I think we went in and then you still have to have your OB appointments around 36 weeks and we didn’t find out our gender with this one. We had the two boys and for our third, we weren’t going to find out what we were having. I had the same sort of morning sickness with my third. I was a lot sicker this time. I knew this time I was going to have a student-midwife and a doula. I got a visit. Obviously, The VBAC Community group on Facebook, I posted in there and I also posted in a Western Australia VBAC support group there about recommendations for student-midwives and doulas. Then I spoke to a few of them and then obviously whoever I felt that connection with, I went with them. The doula– I did research doulas with Call, but I don’t know why I didn’t do it that time. I think that would have made a difference. I was like, this is the time I’m going to do it and I’m going to have a doula. We did that. I did a bit of a refresher for the Hypnobirthing as well. I met my doula at about 25 weeks and we sat. We met at a park and we just chatted for hours. She had a VBAC as well herself. Meagan: Oh, that’s awesome. Lauren: Her second was a home birth and a surprise as well. She had a boy and then she had a surprise for her girl. So much was similar with our situations. I just felt like she was meant to be our doula. Yeah. So that was at 25 weeks and I think at 6 months, we had a suggestion of a fetal growth scan again which was the same and I was like, they were already preempting that but I was more prepared even if I went to that scan and it was a big baby that I would be okay with that. Then at 28 weeks, I did the normal blood test and the fasting for gestational diabetes. I didn’t have it with the two boys and I had it this time around. That was a bit of a surprise. I didn’t really know much about gestational diabetes. You have to do your three blood sugars after your fasting and the third one had to be under 8.5 and I was 8.5 so I was just on the cusp. I remember my midwife saying to me, “Who knows? If you had waited another 15 minutes before your blood test, you probably would have been fine.” Meagan: Yeah, it could have been lower. Lauren: I started snowballing with all of the things. I thought it was going to mean I was going to be induced for bigger babies and I didn’t want to be induced. I had gone to 40 weeks with the boys so I didn’t assume I would be having an early labor so I started really worrying about my chances of having a VBAC at that point. I did a lot of research and listened to podcasts with people who had gestational diabetes. I tried to get in a good headspace again. I just took it as a positive to eat healthier and watch what my weight gain and things like that this pregnancy. I had to check my blood sugar four times a day– after fasting in the morning first thing when you wake up, and then every two hours after a meal. I was able to manage it with just my diet which was really good so I didn’t have to have insulin. Meagan: Insulin, yeah. That’s awesome. Lauren: That was really good and then the diabetes, they were checking with me and I could change to testing every alternate day. Thankfully, I was able to manage it from that side but it just meant there was increased monitoring of the growth of the baby and my weight and things like that. I also had low iron which I never had with my first two pregnancies but this pregnancy was just a real curveball from the start. Yeah. So then at 29 weeks, I went in for my next appointment. I checked diabetes and everything was still fine. My youngest tested positive for COVID so that was a little bit of an interesting one. None of us got it which was really lucky so I didn’t know how that would go being pregnant and getting COVID. I had noticed I started to lose a bit of my mucus plug which I’ve never experienced before and it was quite early but my midwife said, “That’s fine. It doesn’t mean anything. It can happen. It builds back up again.” But that was a bit different and exciting. Then I think at about 32 weeks was my appointment with my midwife and that was when we went through all of my previous births just as a debrief. Meagan: Op reports. Lauren: Yeah. That was a bit of an eye-opener because I think those things that we highlighted in Call’s birth weren’t really brought to my attention until this one. You could see as my midwife was reading it that she wasn’t really aware of that either in the notes. It just said there was a sign of obstruction, a loss of station between the manual and the vacuum rotation, an inability to place the forceps, and an understanding of why the labor was abandoned and the vaginal birth. Then it says that a VBAC was not recommended. The midwives would still support me if I wanted to try for a VBAC after two and if I wanted an elective that they would support with that. I remember leaving feeling so disheartened. I was only 4 weeks away from my due date. I came home and I remember Josh and I talking it over and I was like, “Is it worth going through all of that over again just to get to that point of pushing and not being able to fit through my pelvis and being through a scary C-section again?” We went through all of our options and Josh was happy to support what I wanted but I was so torn. I didn’t know but I kept coming back to a VBAC. I just didn’t feel content with a Cesarean. I just said, “I’ll never know if I don’t try.” I spoke to my doula and I said that I was just frazzled. My head was all over the place. I had a good chat with her over the phone that stuck with me. She said, “Different baby, different birth.” Meagan: Absolutely. Lauren: I just kept saying that to myself. I think I listened to one of The VBAC Link podcasts and they said the same thing. It just was the right information that I needed to listen to at the time and the whole CPD with the pelvis. She said, “You don’t even have an official diagnosis.” She said, “That’s just somebody’s opinion as to why they are saying that the baby didn’t descend. He just wasn’t in a great position.” She highlighted that they broke my waters at 6 centimeters before he even descended which maybe led to him being even more stuck. All of these things, and then I remember just trying to focus on positive VBAC stories and get my head in the right space so I was listening to lots of podcasts at this point and I was following a lot of Instagram pages about pelvic mobility. I didn’t really do a lot of research about that with my first or my second pregnancies about your pelvic inlet, your pelvic outlet, internal and external rotation. This was all news to me and I really, really enjoyed that. It made sense that the pelvis is not rigid. It can move and I just kept visualizing that when I was trying to be positive toward this labor. I was doing a lot of exercises for only a couple of minutes at night before bed. I was doing a lot of window wipers where you lay back and rotate your knees from side to side, deep squats in the shower, I was doing a lot of lunges and just creating a lot of space and room that I felt like I could in my pelvis. I did a lot of visualization. I remember I just kept putting my hands between my legs and imagining feeling my baby’s head. I don’t know why I did that and it probably might seem a bit strange but I just really felt that and I was imagining going through labor and having that moment. Yeah. Meagan: It doesn’t. Lauren: That was really quite powerful at that point to get back on the right track for having a VBAC. There were two other podcasts I was listening to which are Australian-based– The Great Birth Rebellion and that’s really, really good, and The Midwife’s Cauldron. They just question a lot of things that are expected or standard and not to question. I thought that was really good. One of the ladies who does The Midwife’s Cauldron has a book called Reclaiming Childbirth as a Rite of Passage. I didn’t get all the way through it but it was another thing like finding your podcast. It just really resonated with me and everything I read, I felt was meant for me. It was really, really powerful. The two Instagram pages that I followed were The Body Ready Method and they have little reels of exercises and things to do to get your body ready. Then I got to 35 weeks. We went through my last appointment and I was happy to go through with the VBAC and that they would support me. They advised of the standard guidelines of having an IV, CTG monitoring, and regular vaginal examinations. At 36 weeks, I had my OB appointment and I had my growth scan. The baby was in the 90th percentile. I thought I was going to have to say, “I know they can be inaccurate.” But the OB wasn’t worried about that at all and he said, “Yep. Baby’s size is fine.” He discussed the pros and cons. He pulled out graphs and figures and I was like, oh gosh. Here we go. He’s going to tell me all of these problems. He was so pro-VBAC and supportive. He was from the UK and he said, “I came to Australia and I didn’t realize what the problem with VBAC is.” They are so supportive in the UK with VBAC and the hospital I was going to has a 60% VBAC success rate which I was like, well that’s pretty positive. I did my GBS screening and then he rebooked me in for 39 weeks. I’ll never forget he said to me, “I’ll see you at 39 weeks if you are still pregnant.” In my head, I was like, Of course, I’m still going to be pregnant because I went to 40 weeks with the boys so we will see you at 39 weeks and reassess. You don’t have a set obstetrician either so you get whichever one is there. I was really hoping he would be at my next appointment and when I went into labor. At 37 weeks, we went on a little holiday down south. It was a big drive. We came back. I was having regular chiropractic appointments I should say. I had my chiro appointment when I got back. I had been sitting in the car and she mentioned that the baby was sitting asynclitic which is the head tilted. I thought, Oh no. I was so focused on getting the baby in a good position. She said, “It’s probably because you were sitting for such a long time. It’s no concern.” She realigned me and then gave me some pelvic tilt exercises to get into the right spot. Then on the 14th of January which was around 37, just before 38 weeks, we had a meet-up with my doula again just pre-birth to run through everything. She got to meet Josh and we left feeling really positive and excited and happy with everything. She was on call. I got to 38 weeks. I had an appointment on Thursday with my chiro and then on Friday, I was working from home. I still had another week. I was sitting on the exercise ball pretty much all day doing lots of circles and pelvic tilts. I had maybe one or two twinges and I was like, Oh, that’s interesting. Nothing eventuated from that. Nothing through the night so I didn’t really read too much into it. The next morning which was the 20th of January which was 38+2, Josh had to go down south for work which was a 3-hour drive away. A lot of people were like, “Oh, that’s a bit dangerous.” I said, “Oh no, I’d rather he go now and be back for my due date.” I said that. I said, “I’d rather have you go now and be around for 40 weeks.” He headed off first thing Saturday morning. He did the drive. He did a full day’s worth of work. It just was a normal day. At 4:30 in the afternoon, I got two boys in the car. We went to the shops. I had to do a bit of shopping for a birthday the next day. Then at 5:00, I do Click and Collect. I don’t know if you have that but you do your grocery shopping. You pull up. They just put it in your boots and then you drive home. Meagan: Yes. We do have that. Grocery pickup is what we call it. Lauren: They came out from COVID and I just haven’t stopped doing that. It’s so handy with children. That was at 5:00. We did that. We got home. At about 7:00, I’m getting the boys ready for bed. They were in the bath. I was just tidying up a few things. I squatted down to pick a few things up and I had a bit of a leak. I was like, I just felt like I wet myself a little bit, but not a gush. Not anything. I had a pad on so it was just a little bit of water. I called Josh. I said, “I don’t know if this is anything, but maybe just have an early night. If things do start to happen, you might have to drive home early in the morning to get back.” This was at 7:00 then at about a quarter past 7:00, I sent a photo to my friends because they were out. I was just at home. I bought a special birthing robe. I just for some reason put it on that night. I was sitting on the couch in my birthing robe. I took a photo and sent it to them completely oblivious of what was about to unfold. I got the boys in their pajamas and brushed their teeth. We were getting ready for bed and it was about just before 8:00 and I had a little bit of a cramp so I was like, Oh. It was really weird because with my previous birth, I didn’t notice the contractions or take note of them for a long time. But at 7:55 was my first contraction and then 10 past 8:00 was my next one. I was like, Oh. That’s weird. It was 15 minutes later. The next one came 5 minutes later. I was like, That’s weird. The next one was 4 minutes. I was like, That’s weird. I stopped writing them down. I was like, Obviously, I’m not writing them down properly. I must be doing something wrong because that just can’t be right. During that, I must have gone to the toilet and there was a slight tinge of red in the bowl. I remember taking a photo of it being like, I’ll just keep it. Meagan: Like some bloody show? Lauren: Yeah, but not a lot. Really faint in the water. I took a photo because I wasn’t even sure if it was there. Then at about 8:20, I called Josh again and said, “Maybe start heading back because things might be happening. The contractions don’t seem like they are slowing down but we will just see what happens in the next few hours but it’s 3 hours so maybe start heading back.” I called my mum at that point as well. She was an hour up north. She never goes up there but she had just gone for a day trip so she was away as well. At that point, the boys were still awake and I couldn’t get them. I wasn’t capable of getting them into bed and doing all of that. I said, “Just pop on the couch,” and they were watching Bluey which is a TV show they love. They were watching that and I just hopped in the shower. It must have been 8:30 at that time and I called Megan, my doula. The plan was I was going to labor at home as long as possible and she was just going to meet us at the hospital. I called her and I just said, “Josh isn’t here. My mum’s not here. I’m alone with my boys. I’m going to try and put them to bed and focus and get into my breathing techniques and then I’ll check in and touch base with how I’m going.” That was about 8:30 then 10-15 minutes after that, I jumped in the shower and things started to ramp up quite a bit. I was really upset because I was in the shower thinking that would be my mode of pain relief and it just was not. Meagan: Uh-huh or slow it down. Lauren: Yeah, I’ve heard that as well. If you hop in the shower, it will slow down if it’s not the real thing. It did nothing and I was like, Oh no. This is not good. I remember thinking to myself, I just need to press pause. I just need to stop this because it can’t be happening right now because I’m literally on my own. This is not how it was supposed to happen. I was in the shower and then I had a little bit of a bloody show in the shower and then at that point, I called my doula again. I was like, “I think you need to come over. I just need a little bit of support just to watch the boys.” In my head, I was still thinking I had hours to go. In my head, I was like, If you could just watch the boys until Josh gets here, then you can head home and we can give you a call when we head into hospital. At that point, I got out of the shower because it wasn’t doing anything. The contractions started to feel different. It felt like I was having to bear down a little bit. I was like, Okay. But I still feel like I was oblivious because I just– it was so quick. In my head, it wasn’t happening that fast. I remember thinking, When I get to the hospital, I’m not going to be able to do this all night. I’m going to get the epidural because it’s too much. I got out of the shower and Megan had given me a TENS machine. I was like, that is in the bedroom. I’ll get the TENS machine. I couldn’t even make it to my bedroom to get my TENS machine. I was like, oh goodness. I put a nappy on and then I went and I sat down. I think I must have made it to the toilet so then I sat back on the toilet and that was a really comfortable, familiar place that I was sitting and I was sitting down there. That was really nice for the contractions to break through. My boys wouldn’t have known what was going on. They kept coming in and checking and asking if I was okay. I said, “Yeah, mummy is fine. I think the baby is coming.” They knew something was going on because I was making some noises. My eldest was a little bit scared but he was okay and then I was sitting on the toilet and I remember I had locked the whole house up. We’ve got a side gate security door and a front door. I thought, Oh my god. When Megan arrives, she’s not going to be able to get in. Nate found the keys for me and he gave them to me. He was so happy with himself that he gave me the keys and I managed through contractions to walk. It was probably 5 minutes to the front door and I only had a nappy on at this point. I was completely naked because I just got out of the shower and had a nappy on. I unlocked both doors. I was in a little side area and I thought, Goodness if anyone walks past and hears me and sees me– thankfully, it was late and nobody saw it but I don’t know how I managed to do that. I got back in and I was on the toilet. I think that was around maybe 8:50 at that point when I had moved to the toilet. The light was off in the toilet and the hospital bag I had packed had lots of candles and LED lights to have to set the mood. In the boys' bathroom, I have one candle on which is just for their nightlight if they need to go to the toilet. That was the little nightlight that I had on in the toilet. That was actually quite nice to have a dark room with a little candle on. At this point, I’m sorry. I unlocked the door at about 9:00 and then it was 9:23 that my doula arrived. She came in and my eldest son, Nate, ran into the door and he was just so excited that somebody was there to help mum. He’s like, “Mum’s there. She’s in the toilet.” I remember Megan coming in and she was so calm and she was so relaxed. She looked at me and she said, “Lauren, are you pushing?” I remember looking at her and I was like, “I think I’m pushing.” She just said, “Okay. I’m just going to call the ambulance.” She was on the phone and she was calling. I think in my head at this point, I still hadn’t registered it was that sudden. I still just thought I was– Meagan: And this has been maybe 2 hours. Lauren: Yeah. 2 hours. You can push for hours so in my head, I was like, We’ve still got hours. We’re fine. It was intense, but I was just so excited. Things were happening and it was all going. Then I don’t know how we got to it but we called my neighbor to come over because my doula was trying to support me but then the boys were there. She said, “I just need somebody else to watch the boys.” My beautiful neighbor came over. We are friendly but not in the middle of birth naked friendly. She comes and the toilet is off the hallway so I remember her walking in and she’s like, “Hi.” I was like, “Sorry, Adrienne.” I was pushing and she was walking off the hallway to sit with the boys on the couch. I was about to have a baby. It was so crazy. Yes. I think that was just about 9:30. Megan gave me some water and she was rubbing my back. She put a cold towel on my back and I was still sitting on the toilet at this point and my legs were quite shaky. I just felt a bit sweaty then I instinctively just got up to move to sit on my knees in the toilet and that toilet’s not very big. You can put your arms up and hold the walls. I was on there on my knees. I had one leg up and I was rocking, circling my hips. I was doing all of the things and just instinctively. I didn’t really notice that I was doing them. Then I think she had towels and she had pillows. She was still on the phone to the ambulance that were coming. I’ll never forget. The guy on the phone was just like, “Put her on her back. She needs to be. Can you get her on her back? You need to be able to see.” They were asking her to tell them when I was having contractions. I remember we were looking and each other and I’m like, “He can hear when I’m having a contraction. I’m starting to make the noises.” Megan would just be like, “Now.” He could tell when I was having contractions. Obviously, he had a script to read off but it was so obvious when I was contracting and when I wasn’t. The head wasn’t there but I could feel bulging. I remember putting my hand down there and I was just so excited and happy. I was just so calm. I don’t know how because none of it was planned. It was happening so quickly. I guess there was no time to really process it or even think about it or get scared about it. It was just happening. There were two paramedics that arrived. This was just before 10:00 at this point. I was there. I could feel bulging. There was still no head or anything yet. They came in and they turned the lights on in the toilet and I was like, “Oh no.” It was too bright. They turned it off. They looked at me and said, “Lauren, are you okay? Do you need anything?” I don’t even know if I could speak. I just shook my head. In hindsight, we couldn’t have gone. It was too late. We couldn’t have gone anywhere anyway but they just stood back. They turned the light off and they literally just watched which was so special. They didn’t interfere. They didn’t try to take over. They just sort of let me go and I don’t know how it happened but the doula gave the paramedics my phone and they recorded the birth. Meagan: Oh that’s awesome. Lauren: Yeah, which was not planned. I guess it was so special because Josh was still an hour away. Meagan: Yeah, and your mom? Lauren: My mum wasn’t there so at least they could see it. I’m so glad that they thought to do that and to record it. They were recording it and I was getting close. I remember in the video, you can hear me say, “I can’t do this anymore.” Obviously, I was very, very close and I put my hand down. I was just saying, “Ow, ow, ow, ow,” because I could feel the stretch. I know people call it the ring of fire but I tried not to think of it like that. I tried to just visualize the stretching of everything. Then I could feel the baby’s head and then I just remember sobbing because I was so happy. I could feel and I was saying, “Ow, ow, ow, ow,” and then her head– I didn’t know it was her at the time, but her head sort of popped out through my contraction. You could just see my relief. I was so happy and she cried. Her head was out and she made two little cries. Meagan: She did? Lauren: I’ve never heard of that happening before. Meagan: I have never seen that ever. Lauren: Yeah, it was incredible. Even the doula was like, “What in the world?” I knew she was fine at that stage. I heard the little cries then it was maybe a minute before the next contraction then I was like, “She’s coming out.” The doula had her hand under. She guided her head to me and then her shoulders and I just pulled her up to me. It was just– yeah. The look on my face. I just could not believe it. I had done it. I think I just kept saying, “Oh my god. Oh my god.” I just held her. I keep saying her but I held the baby. I just could not believe that she had come out just so quickly and so easily. I was so worried in the lead-up that the baby would get stuck or I wouldn’t be able to get the baby out and none of that was even in my mind at that point. She just was there. I was holding her and it was the most incredible, special moment. Even now, even when I hold the top of her head, I always remember feeling her head coming out. Yeah. I don’t even know if I’m doing it justice because it was just the most incredible feeling. I was holding her. Our neighbor brought the boys down so within the first minute, she’s walking down the hallway and she had Nate and Call and they were both in the doorway of the toilet looking at me holding their little baby. My youngest sort of looked in and was like, “No.” He just walked away. It was all a bit much for him. Then my eldest walked straight in. Stuff was everywhere and he was so brave. He walked straight in and was like, “Mummy had the baby. The baby is here.” I said to him, “We don’t know what it is. Do you want to have a look and see if it’s a boy or a girl?” He looked down and I said, “Is there a vagina or a willy?” He looked down and the whole time he said he thought she was going to be a girl. He goes, “I think it’s a girl.” He looked down and I don’t know what he saw, but he said it was a boy. I was like, “Is it another boy?” He must have seen something that he thought looked like a willy. Meagan: Maybe an umbilical cord or something. Lauren: Yeah, maybe the cord or swelling but they get quite swollen so he might have thought it looked like little testes so he said, “It’s a boy,” and Megan whispered something in his ear and in that split second, I was just like, Oh my gosh. It’s not a boy. I’m like, “Is it a girl?” I just couldn’t believe it. The fact that she was such a surprise, her birth, and the way she came, and then that she was a girl as well and then we were just sitting there in the toilet for so long and then we were like, “Oh, we’d better call Josh.” Megan was like, “I’ll call Josh.” She said, “You need to pull over Josh. Can you pull over?” He was on the highway doing 110 to get back to us. He was like, “Okay.” So we FaceTimed him and I’m just sitting on the floor holding Wren on the toilet saying, “She’s here. We had the baby.” He was so happy. He was still an hour away. My mum– I think we just sat in the toilet. My mum arrived 20 minutes after she was born. She just came and sat on the floor of the toilet with me. We just sat in there. She couldn’t believe it. Then about maybe 40 minutes after, we walked up and I was able to sit in my own bed and I sat in the bed. They were sort of a bit worried about the placenta and things like that. I hadn’t birthed the placenta yet. They asked if I wanted to cut the cord. I said that I wanted to leave it as long as possible until it goes white. We were hoping for Josh to come at that point so then I was sitting down. I stood up for a little bit and I remember my mum was in the bed with me and my doula was there. I said, “Oh, I’m so sorry. I think I need to do a number two.” Then she was like, “No, I think that’s your placenta.” Meagan: Probably your placenta sitting in there. Lauren: The placenta came straight out and she caught it in one of my mixing bowls because we didn’t have anything prepared. She stayed attached to that for a while. Because they had gestational diabetes, they had to do a heel prick on Wren. Her sugars were fine. Josh was still about an hour away. We didn’t even have a capsule for the car so I hadn’t picked up the capsule so we got transferred because she came so early. We got transferred to the hospital in the amublance and Josh met us there at 10:30. I should say she was born at 10:09 which was just pretty much 2 hours. Meagan: So 7:40-something to 10:09. Lauren: I remember the midwives when we got to the hospital were like, “Why didn’t you know?” I was like, “I just had no idea that it was happening that suddenly.” Now looking back, obviously, the signs were all there but it wasn’t happening that quickly in my head. We got to the hospital and Josh got to meet us at the entrance and it was so special. I just still could not believe that it had happened and I was on this high. I was just so incredibly happy. We went in and they just didn’t know what to do with us. They didn’t know to put us in labor and delivery or to take us to the maternity ward. We went to labor and delivery. They did all of the assessments. She was my biggest baby. She was 7.8 pounds so 3.5 kilos compared to the boys so it’s quite funny that Call wasn’t able to come out but she was able to come out. I think it was just positioning and I was relaxed. I was at home. I didn’t have any interventions or anything played a huge part in it. They did an assessment. I think her APGARs were in the hospital but she was 10 and 10. She was perfect. They did assess me for a tear and I remember saying, “Oh, I don’t think I teared,” because in my head if I had torn, I thought it would have been a painful feeling. I actually had a 2nd-degree tear which I didn’t realize so I had to have some local anesthetic which was probably the most painful part of it all. It was excruciating. I had to have stitches for that and then just a superficial tear at the top. Josh actually went home at that point because we still had a few hours before we could get discharged. He drove 3 hours in the morning, worked the whole day, drove 3 hours, hadn’t slept for 24 hours. I said, “You go to your parents. Have a quick sleep.” He came back. They did a few checks on Wren. She had to go to the special care nursery just for some monitoring really quickly because there was a difference on some of her monitoring with her heart rate. They did an echo which came back fine so there was no follow-up. It must have been a funny reading. They were all fine so I think we got discharged at about 9:00 the next morning. She was born at 10:00 at night. We went to the hospital at midnight. We left there at 9:00 in the morning and were back home literally within a few hours with the boys. It was just so surreal and so special compared to the other two birth experiences that I had. One, to be able to get up and walk around and just do things without being conscious of a scar and recovery and things like that and even when I walked in home– because my mum had stayed at home with the two boys, she said, “You don’t even look like you just had a baby.” I just felt like I was on top of the world. It was such a different experience. I remember saying to her that obviously I didn’t know what it was going to be like but now that I’ve experienced it, I can’t imagine going through life never having experienced that and having birth that way. It was just so– I remember a few of the midwives looked at me as if I had planned to have a home birth and I was like, “Absolutely not. There was no way I would have planned it like that with no support, with nobody here.” Meagan: Yeah. You’re like, I would not have planned to do that. Lauren: My boys didn’t know anything about natural birth. I was going to the hospital to have a baby and coming back with their baby brother or sister. There was no way that I was– that was a bit funny. I was like, no. It was not planned. It was all very sudden. I remember my doula said to me in the coming days after Wren was born, “How special for Wren to have been born that way and then also for your boys to just see that their sister was born at home and that it wasn’t a scary experience. It can be calm and it can be peaceful and it can be special and it didn’t have to be some scary thing.” I remember it’s so funny the people who I would tell the story to after. They would be like– you could tell people’s reactions about their views on birth. They’d be like, “Oh, how traumatic for you. That would be so scary.” I was like, “That was the least traumatic birth out of the two.” It was so beautiful. It was everything and more that I ever could have dreamed of. I wanted to try for a natural birth and I remember saying to Megan, “I had a VBAC.” She was like, “You had an HBAC. You pretty much had a free birth.” Meagan: Seriously. You did. Lauren: I didn’t have my obstetrician or midwife or anybody. Someone was like, “How did you know? You didn’t have any exams? You didn’t know how far along you were? Who delivered the baby?” I was like, “I did. I did it all.” It was so unplanned but so perfect the way that it happened. Even my mum was like, “I don’t think you’re ever going to get off.” I was just on cloud 9 for so long. I was like, “I think it’s going to be forever. I just don’t think it will ever change.” I think it’s so special after having a Cesarean. I don’t think it’s the same. Meagan: There’s something about it for sure. Lauren: I think only someone who has had a Cesarean can relate to not thinking you can do it or not being able to do it and then actually being able to do it. I remember in your podcast, I think after your birth, you told your obstetrician, “I don’t have a small pelvis” or “I did it” or there was something that you wished you could have said afterward to them. Meagan: I said, “Screw you.” Lauren: I just remember thinking that. Meagan: And then “I did it”. Lauren: I said, “What small pelvis? I can push a baby out.” It’s so empowering and I just literally think I even posted it in The VBAC Link Community. I remember all of the comments were like, “Never stop telling your story.” People need to see more positive, good outcomes of births because you don’t hear about that. You just hear about the scary things. Meagan: Yeah. Lauren: Yeah. Every time somebody asks, I’m like, “Are you ready for it? Because I will keep talking about it and I will love talking about it.” Yeah. I just think it’s something that should be heard and experienced by women if they want to. Obviously, it’s completely your own choice but if you want to, you should be able to try and have a VBAC. I think it’s such an incredible experience and I’m so glad to share my story because I honestly don’t think I would have thought that I could have done it or that it would be possible without listening to the stories that you had on your podcast. It just gives you so much confidence that it’s possible and that you can do it and that people do it all the time. People didn’t even know what VBAC was. “Are you allowed to have a VBAC?” It’s just such a funny concept now. Yes. If they are having a private obstetrician, I’m like, “Maybe have a look at your options.” I could go on and on. Meagan: I know and there are so many times that we doubt ourselves. We doubt ourselves. we get in our heads and it’s because we’ve been told those things. We’ve been made to feel like we’re not able to. Then on top of that, we have things on our op reports like CPD or failure to progress or we’ve got a special scar now so she should definitely never do this and now she’s got gestational diabetes on top of this so then we’ve got a bigger baby. When it’s all said and done, look at you. Lauren: That’s what I remember thinking. None of that came up. At the end of the day, that was such a high risk and issues to be scared of and at the end of the day, we didn’t tell the paramedics I had Cesareans. They were like, “Is there any medical history?” Then afterward, they were like, “Oh my goodness.” I was like, “But it wasn’t scary. It shouldn’t have been a scary situation.” Meagan: It doesn’t have to be. Lauren: I understand there are situations where it can be but the fact that there was none of that and you do. You get it all in your head and you think, I can’t do this and you’ve heard all of these things but I do think I was so much more mentally prepared for this birth than I was for my second birth and I think that was a huge difference being in your head and believing that you can do it as well. Meagan: Absolutely. I echo that completely. And then to add in, I know you added some books to recommend and things like that. Another one that I would recommend is the Real Food For Gestational Diabetes by Lily Nichols so that’s a really great one. If you are listening and you have had gestational diabetes in the past or you were maybe just diagnosed, this is a really, really great book for gestational diabetes parents. Thank you so much for recording with us today or tonight in your sense or actually in the morning. It’s now 12:15 in the morning. Oh my gosh. Your story is amazing and I agree. Do not stop sharing it because that was true physiological birth. Lauren: Yes. It was everything. Meagan: That was complete and there are so many things about your story where, “Okay, I’m now on the toilet and I have to go all the way down to get the door unlocked.” Those things were probably actually helping your situation and helping your babies. Keep these things in mind, Women of Strength. During labor, walk, crawl, move through your labor because it really can help impact the way your baby comes down. Thank you so much again for sharing your story. Congratulations and I hope that you have an amazing sleep tonight. Lauren: Oh, thank you so much for letting me share. I love everything that your community that you have created has done. I’m so glad I found it because I definitely attribute my births to that. Thank you so much. 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