Episode 353 Ashley's Premature VBAC After Possible Placental Abruption + Advice From a NICU Mom

“Getting that VBAC meant everything to me. It helped so much with the trauma of it all.” At 36 weeks along with her first, Ashley started to have intense carpal tunnel pain. At 38 weeks, it was unbearable. Her provider said that delivery would be the only way to find relief and recommended a 39-week induction. Ashley had a difficult labor and pushing experience. Her provider recommended a C-section due to a cervical lip and no progress after just an hour and a half. Ashley consented and felt defeated. She started her VBAC prep the day she got home from the hospital. At 29 weeks with her second, Ashley had plans for a beautiful trip to Saint Thomas with her husband and toddler. She began contracting the night before her flight but didn’t think much of it and made it to their gate– while still contracting. As the plane was boarding, she passed a blood clot in the airport. She knew she needed to go to the hospital. In spite of many interventions trying to stop labor, Ashley birthed her baby via VBAC just hours later. She later learned that she had a possible placental abruption that wasn’t detected until her doctor examined her placenta after delivery. Though Ashley’s postpartum experience was tough balancing life with a newborn in the NICU for 8 weeks while having a toddler at home, the victory of having a VBAC carried her through. The power of a positive birth experience is real and worth fighting for! Pregnancy-Related Carpal Tunnel Article How to VBAC: The Ultimate Prep Course for Parents Full Transcript under Episode Details Meagan: Hello, Women of Strength. It is Meagan with my friend, Ashley. Hello, Ashley. Ashley: Hi. Meagan: How are you today? Ashley: I am good. How are you doing? Meagan: I am doing great. I’m loving all of the stories we are recording and so excited to hear yours. You have a more unique VBAC in the sense that it was a very premature VBAC. Ashley: Mhmm, yep. Meagan: Yes. We are going to talk a little bit more about that. You’re going to share information for NICU moms because your baby did go to the NICU. You are a mom of two and a children’s therapist. Can you tell us a little bit more about what you do for work? Ashley: Yeah. I work with kids ages 4-18. Right now, I’m Telehealth only. I actually work in Tooele, Utah, but I live in North Carolina. Everything is Telehealth. It happened with COVID. I was out there during COVID. We moved and continued to do Telehealth since I’ve moved. I really only see 10 and up at this point. Yeah. I see a lot of teenagers all through Telehealth and it’s really wonderful that I get to keep that up. Meagan: That’s so awesome. That’s awesome that you got to keep doing it, and that you are serving our children. I’m sure that you have lots to say about our children and their mental health that is going on out there, but there is a lot. It is a lot of these kiddos of ours. Ashley: Absolutely, yeah. It’s hard and challenging, but it’s also really wonderful and rewarding. I love that I get to do it. Meagan: Yeah. Well, thank you so much for all of your hard work out there. Ashley: Yeah, absolutely. Meagan: We do have a Review of the Week, so I want to get into that, then I really want to turn the time over to share both of these journeys. This review is from Sienna. It says, “After having a very hard conversation with my OB where I learned she was in fact not VBAC tolerant or friendly, I texted my best friend through tears pouring down my face and she immediately sent me a text back with The VBAC Link Podcast. Ever since, I have been listening to every episode of the podcast. It is so beyond helpful and inspiring for anyone preparing for a VBAC. I’m due at the September, and have made the goal to listen to every single episode before then. I can’t say enough for what Meagan and Julie are doing for women like me. I can’t wait to rock my VBAC.” Oh, I love that review. Thank you so much, Sienna, and I can’t wait for you to have an incredible VBAC. Way to go for realizing that your provider may not be the right provider for you. I think there are so many people who walk through the VBAC journey who think they may have a supportive provider, then at the very last minute, they are having those conversations and realizing, “Oh, shoot. I may not be in the right place.” It is okay to switch and keep interviewing and discussing with your provider. If your provider doesn’t feel like talking to you about your VBAC or says, “You’ve got months to go. We don’t need to talk about that right now,” those might be red flags and things you might want to reconsider. Thank you, Sienna, for your review. If you haven’t yet, please leave a review. You can Google us at “The VBAC Link” or you can leave it on the podcast platform that you are listening to us on. Okay, Ashley. Thank you again so much for being here with us. Ashley: Yeah, absolutely. I’m so happy to be here. I never thought I would be. When I was preparing for my VBAC, I was listening every single day during my walks and I just thought, “Oh, if I get a VBAC, that would be wonderful,” but I never thought I would ever be on the show. It’s crazy and wild to be here. Meagan: I love it. The more and more that we record, we learn that it goes full circle. We’re in your ear all pregnancy with all these Women of Strength sharing their stories, inspiring you, building you up, and now, here you are inspiring and building others up as well. Ashley: Yeah. Yeah. It’s cool to be here. Do you want me to talk about my first? Meagan: Yeah. Yeah. Every VBAC starts with a C-section, so let’s start with your C-section story. Ashley: Yeah, for sure. For my first birth with my son, it was a pretty easy pregnancy for the most part. There were a couple of hiccups here and there. I had morning sickness in the beginning in the first trimester, but everything else was pretty smooth. At 13 weeks, I had a spell where I had a lot of bleeding. That was terrifying. I thought I was miscarrying. I called my provider and panicked. That was just the worst 4 hours of my life because I continuously bleed. They finally got me in for an ultrasound. They checked me and he was just really active and bouncing. They never knew why it happened, but I was fine. Meagan: Did they ever say anything about a subchorionic hematoma or anything like that? Ashley: That kind of sounds familiar, so that could have been it for sure, but I don’t remember. But it stopped. After my ultrasound, the bleeding was done, and everything was fine. It was the weirdest thing, but definitely so scary. Yeah, it was terrifying. That was bad, and after that, after the first trimester, my morning sickness went away and everything was good for the most part. What happened though, I took birth classes. I took breastfeeding classes. I didn’t do a ton of research. I just took my little birth class, and I thought that was enough. I actually think I skipped the C-section part. I was like, “I’m not going to need that.” I don’t know why I was so weirdly confident that I was going to be able to have a vaginal birth, but it literally was something that I’m like, “I’m good,” and I didn’t put much thought into it. I don’t know why I did that. Meagan: A lot of people do. It’s not what we want. It’s not what we think is going to happen, so we just push it aside. Ashley: Yeah. Yeah. I didn’t do any research at all, so I didn’t need to know about that. I didn’t want it obviously, so yeah. Everything was good until about 36 weeks I would say. I started to get carpal tunnel and it just got progressively worse and worse. It was bad. The last month of my pregnancy, it was unbearable. My fingers and wrists were numb 24/7. It was waking me up at night how painful my hands and fingers were. I couldn’t do little things. I couldn’t put a necklace on anymore. I couldn’t put my earrings in because I couldn’t use my fingers. It was so bad, and it was something I didn’t know happened. It was pregnancy-induced carpal tunnel. I had so much swelling in my body. That’s what they said it was. My midwife who I had found and really loved, she referred me to PT. I did that. I did wrist braces every night, and nothing helped. I kind of knew that was going to happen just doing some research. They say the only thing that gets rid of it is delivering your baby basically. Meagan: Do they know why it really starts? Is it something within the blood flow? Do we know? We don’t know. Ashley: I don’t know. My midwife just chalked it up to the swelling. My carpal tunnel was being squeezed by the swelling. I’m pretty petite as is, and then I was carrying so much water and so much weight that I think for me, my body just didn’t respond well. I had the carpal tunnel. That was at 36 weeks when it started getting pretty bad. There wasn’t a lot we could do about it. I really didn’t want to have an induction. I didn’t know much about it either. I didn’t do a ton of research, but I knew I didn’t want it. I just knew I wanted it to all go as naturally as possible and for my baby to come on his own timeline. By 38 weeks, I was miserable. I was like, “I don’t think I can do this.” I was pretty big and uncomfortable, but that wasn’t the part that was killing me. It was the carpal tunnel. It was bad. My provider said that we could do the membrane sweep each week. We did it at 38 weeks. We did it at 39 weeks, and we decided that if nothing happened after my second sweep, we would think about an induction. I was ready. I had to stop working a week before I even wanted to because I couldn’t type anymore. It hurt to type, and I do a lot of assessments with my job where I am typing all of the time, using my mouse and keyboard. It was just awful. We did the membrane sweep at 39 weeks and nothing happened. I was curb walking. I was eating the dates. I was doing the things and drinking the tea. Nothing. So at 39+5, I got admitted for my induction at 8:00 PM. They did a Foley bulb, then they did the Cervadil I believe. That was all fine. I think they also gave me morphine. I think that’s when they did that to manage pain. I looked at my notes, but it’s kind of hard. Some things aren’t super clear. But either way, I got a really bad rash. At the time, they thought it was PUPPS, but looking back, they thought it was a reaction to the morphine. Meagan: Oh shoot. Ashley: Yeah. I was so horribly itchy. Meagan: Yeah, that’s miserable. You’re in pain and itchy. Ashley: Yeah, and the carpal tunnel was still active. That was still happening. I don’t remember it being super uncomfortable with the Foley bulb. I was more scared of it. I was more scared than it actually was painful. I was okay. I handled it okay. So then my water broke at 2:00 AM I believe. The Foley bulb came out and they started the Pitocin by 8:00 AM I believe because I wasn’t moving enough. I wasn’t dilating enough. My water broke at 2:00 AM. It was in at 8:00 AM. I started an epidural, I think, at 5:00 AM before the Pitocin because I was just in a lot of pain. That epidural, though, was done by a resident which I didn’t know at the time. That was one thing I really didn’t want. It wasn’t placed correctly, and I had a ton of breakthrough pain. It was horrible. They actually ended up rethreading that at, I don’t know, 4 hours later. They had to rethread the epidural, remove it, and put it back in by someone else. It was so bad. Meagan: You just had all of the things coming at you. Ashley: Yeah. I just say everything was botched from the start. It was during COVID. There wasn’t a lot of staff. I felt ignored. There were hours when I didn’t see anybody. The Pitocin wasn’t managed very well either. I feel like they never really increased it. Like I said, after they started Pitocin, I didn’t see anybody for 4 hours. It was absolutely horrible. Meagan: Wow. So they were just outside watching your strip, and you were doing okay so they were like, “All right, we’ll just leave her.” Ashley: I think so. There were no providers. There was barely anybody on staff. I shouldn’t say nobody was on staff. I should say that every single room was booked. They were at capacity, and they were low-staffed. It was just not great. I started Pitocin. I finally got to 8 centimeters. I had really, really bad back pain still, and then that was when the epidural was rethreaded or redone. So then it was just waiting for me to progress, but I couldn’t feel anything at that point. I think I was just maxed out on pain stuff on the epidural being rethreaded. I had no control over my body whatsoever. I couldn’t feel my legs. I couldn’t get up and move. It was so awful. I couldn’t feel contractions. I could see it on the monitor, and they would tell me I was having a contraction, but I couldn’t feel anything. By 5:00 PM, they told me, “Okay, it’s time to push.” I had no urges to push because I couldn’t feel anything. I started pushing. I remember just being really out of it because of the epidural. That, and I’m sure there was morphine still. I was just out of it. I did not feel good or in control of my body. I just remember they told me to push. I was pushing for an hour and a half. Every time, they’d be like, “Okay, it’s time to push.” I would try to push, but I felt like nothing was happening. I couldn’t feel anything. Meagan: Yeah. Ashley: Yeah. I think that was probably the biggest reason why I had a C-section. I blame it on the no feeling and no control of my body. They had me push for an hour and a half, then they said that it wasn’t happening enough. I was at 9.5 centimeters. They could see his head, but they said there was a cervical lip. They told me I wasn’t getting past it is kind of what they said. They said, “You’re not going to be able to get past it.” So after an hour and a half, they told me– well, my midwife, and she wasn’t my midwife. She was whoever was on staff. She said, “I think we should talk about different options.” C-section came into it. She didn’t think I was going to get past the cervical lip. I stalled, so they had an OB come in and talk to me. They said, “Let’s bring him in and get his opinion.” He said the same thing, “I just don’t think you’re getting past this lip, and I think a C-section is the best course.” Looking back, I’m like, “I pushed for an hour and a half and they never tried to move me.” Given I couldn’t feel my body, they never tried to reposition me. Now, I know that if that had happened, give me some pressure. Help me sit up. Maybe I could put some pressure on it. I know it’s swollen, so putting pressure could have made it worse, but I just think there could have been so much more done that wasn’t done. Meagan: Yeah, and sometimes those cervical lips are baby’s head positioning. We’ve been pushing and aggravating the cervix, so rotating and getting the pressure off of the wrong spot and equalizing the pressure, or getting it over can help. Or sometimes that’s what it needs. It’s not the swelling, the cervix is just there, and it hasn’t progressed all the way, so pushing, and pushing, and pushing against that is what causes that swelling. Then movement, time, or rest– there are so many things. There are things like Benadryl or things like that and things to help swelling, but that’s unfortunate. They were understaffed, so I bet they were like, “We just have to have this baby.” Ashley: I think that’s a lot to do with it. I felt a lot of pressure to just get the C-section. No other interventions were offered. Nobody talked about moving. Nobody talked about letting me rest. Now I know, afterward, when I was prepping with my second birth, I was like, “Yeah, I should rest. Yeah, I should let my body move. Yes, there are things I should do.” I didn’t want an epidural, or I didn’t want one that strong. That was a huge mistake in my eyes. I had an epidural with my second and it was great, but with my first, they just overdosed me. They gave me way too much. I went to the OR. I had my baby via C-section. I was so out of it. They gave me more pain meds back there because they were going to cut me open, then I couldn’t feel my arms when I pulled my son out. They kept trying to hand him to me, and I could not move my arms. I was like, “Please stop.” It was so traumatic because I couldn’t hold him, and they kept trying to give him to me. Everything was a blur for a while. I woke up in the recovery room. I didn’t get to hold my baby for 2 hours after he was born just because I was so out of it. Then I got to hold him eventually. We were back in my room. I was there for a couple of days. Yeah. Recovering from that emotionally and physically was so hard. I didn’t prep for it. I didn’t expect it, and looking back, I was angry that it went the way it went. I feel like it didn’t have to. He ended up being 9lbs, 1oz. His head was in the 97th percentile. He had a massive head, and he was a big baby, but I do think things could have gone a lot differently. Meagan: Did he have any swelling on any part of his head that would have indicated things like asyncliticism or a bruise or anything on his head from pushing? Ashley: No, but he had a cone head. He had a very– Meagan: Okay, so he was coning and getting caput. Okay. Ashley: That’s it, yeah. Meagan: Okay. I was just wondering if there was anything specific to a positional thing, but it might have just been that your cervix wasn’t fully progressed before you started pushing. Ashley: Yeah, I think that had a lot to do with it. When you think about it, I was admitted at 8:00 PM. He was born at 8:00 PM. It was 24 hours and I was on my back the whole time. I was not being moved. I was not being repositioned. Like I said, there was not a lot of staff around. I was ignored. I didn’t know any better. I didn’t know what I should or should not be doing. I didn’t know that I should be moving. I think that had a lot to do with it, a lack of moving around and I was just on my back. Meagan: Yeah. Yeah. So had him and did you immediately know you wanted a different experience or were you just such in shock with everything that you couldn’t even process that? Ashley: I knew I wanted a different experience. I remember being in my bed the day we brought my day home in the bassinet, and I remember being on Instagram just looking up C-section groups and support. That’s when VBAC came to mind. I was like, okay. I can have a VBAC. I can do it differently next time. We only wanted two kids, so I knew that was my chance. For my second pregnancy, I really had to dedicate myself to how my body would allow, but that was so important to me right away, to have a VBAC. Meagan: Yeah. Did you immediately find a lot of resources? Ashley: I did. I believe that’s when I started following The VBAC Link. I believe that’s when it happened. There were some other C-section mama groups and stuff that I followed. That was really helpful. I would read people’s comments and it brought me so much relief to know other people had experiences like mine and the way I was feeling was normal. That was super helpful. Meagan: Yeah. There’s something about having that community behind you, validating you, helping you feel like you’re not alone in this world going through this, you’re not alone in this world wanting something different. A lot of people will say, “Why can’t you just be grateful? Why are you trying to figure out a new pregnancy and birth when you’re not even pregnant? You just got this beautiful newborn.” It’s not that I don’t love my newborn, and I don’t want this time with my newborn, but I’m starting my journey now to have a different experience. It’s okay that I didn’t like my experience. I still love my baby. Ashley: Yeah. That was what I heard a lot. I heard, “At least your baby is here and they’re healthy.” I know that was just well-intentioned, but yeah. That was really traumatic. My baby is here. My baby was healthy, and it was wonderful that he was born happy and healthy, but I didn’t feel right about it. I felt like I didn’t have control. I felt like I didn’t have a choice. I felt really pressured, and I didn’t have the birth that I expected to have. That was just really, really difficult. Meagan: Yeah. You also went through a lot between the reaction, but then also with carpal tunnel. You were restricted to even move your fingers, then in your birth, you couldn’t even move your arms. It went heavier. My spinal also went higher with my second up into my lungs and into my arms. I remember feeling that panicked feeling just laying there. Everyone was doing their thing and I was like, “Oh, is this going to stop? How am I going to hold my baby?” and all of those feelings. Ashley: Yeah. Meagan: Well, okay. So you had this precious baby. You decided you wanted a different experience and how did that experience start? Ashley: Yeah. The second time around, I should say with my first that it took us a while to get pregnant. It took us 13 months. I was thinking– I don’t know why it took so long. We were really trying. I was thinking that maybe that would happen again. I was mentally preparing for that. We had been trying for a couple of months. We moved. Right when we started trying was when we moved another state to North Carolina. I needed to find a provider. After getting settled for a couple months and had been trying for a couple of months, I found a provider who had really great reviews. I thought, this is great. I got in with her. That was really just to first get checked up, and then second, to have a plan for if we can’t get pregnant in the next couple of months, what should we do? I was thinking about that one medication you can take that releases more eggs. I wanted to ask about that because almost 35 and I wanted to be on top of it. I met with her. She was really nice, but immediately, she didn’t read my chart. She didn’t know about my first birth. I had to tell her about it and give her that information. After I explained what happened, she basically said that it sounded like it was an anatomy thing for me. One, it was anatomy. I said right away, “I want a VBAC. This is my goal, absolutely.” After I told her my story, she said, “Well, that sounds like anatomy. When it’s that, you’re more likely to have a repeat C-section.” She was like, “I’ll let you try, but the odds are that you’re probably going to have a C-section.” I felt so defeated when I left that appointment. I kind of just accepted it and thought, okay. That’s probably what’s going to happen. She’s the expert. She’s got great reviews. She must know. I left that appointment and again, did some research, and I started seeing that it was not really true. You still can have a VBAC. What she was telling me was not true. I needed to find a different provider. That’s what that meant. I just left it at that and waited. The next month, we got pregnant which was amazing. It only took us 5 months that time which I wasn’t expecting. It was super exciting. I did research for VBAC-friendly providers. I found the most wonderful doctor. Her practice is pretty much all women doctors and midwives. They’re all VBAC-supportive. When I met with my doctor, she said, “That’s what I prefer. 100%, I prefer to do a VBAC. I think it’s safer. I would much rather do that than a repeat C-section.” She was very gung-ho and it was great. As soon as we met, she already knew my chart. She read my previous birth. That was super refreshing. I didn’t have to tell her anything and she had a plan for me. She said, “If you want a VBAC, this is going to be the plan. We’re going to do everything we can to avoid any type of induction and intervention. That’s what we want to do.” About the carpal tunnel, it was likely to come back because it was about my body, and it was more my body and my anatomy, and how I handle swelling. The carpal tunnel was likely to happen again, but the problem was the first time around, I got induced because of carpal tunnel. If this comes back, what are we going to do? She started me on a baby aspirin right away. That was more because I ended up having preeclampsia after I gave birth. Meagan: Postpartum-eclampsia. Ashley: Yes, yep. That didn’t didn’t affect me that much, but yeah. She said, “We want to prevent that, so at 10 weeks, I want you taking baby aspirin.” She said, “If carpal tunnel comes back, I think we should do steroid shots and that should be able to help with the pain. It will help you manage the pain, so we can get to birth without induction or interventions.” Right there, I felt so much relief because that was the reason induction happened the first time around, but I also was a little angry because I was like, why didn’t my first midwife ever talk about that? It was never brought up. It was only PT. I don’t know why that way, but again if I would have had that, I think I could have had a much better pregnancy the first time around. Meagan: Yeah, and gone through a lot less pain. Ashley: More manageable. Yeah, so I left that appointment feeling really good. I found this wonderful provider, and things were going to go differently this time around. I asked about this time if my baby was bigger, and she said, “No, it’s not about weight. It’s not about how big your baby is. It’s about the way the head is positioned and the way the head is coming out. Big babies can be delivered vaginally.” She just said all of the right things. Meagan: Yes. Yes. When you were first telling me the story from the other provider who you met, I was shaking my head. With this one, I’m throwing my hands up like yes, yes, yes. Ashley: Yeah, that’s how I felt. She was wonderful. That was such a relief. It was everything for me. I left that and right away started prep for a VBAC. I already exercised lightly every day, but I started exercising. I made that a priority. I did my 2-mile walk every day. I was drinking the red raspberry leaf tea. I was meeting with the chiropractor. I met with a doula and interviewed a doula. I got that set up. Yeah, everything was pretty smooth. I had horrible morning sickness. This was worse this time around with my second pregnancy. I got horrible pregnancy acne. I had never had acne in my life, and then during my pregnancy, it was just horrible. That’s the worst. Everything else was smooth sailing. Meagan: Interesting. I wonder why. Ashley: I don’t know. I thought for sure I was having a girl because I never had it with my first pregnancy, so I was like, maybe I’m having a girl this time around. And my morning sickness was worse, so with my pregnancy being so different this time around, I thought it must be a girl, but it wasn’t. It was another boy. Meagan: It was? Ashley: Yeah, yeah. Meagan: Maybe the testosterone. I sometimes get testosterone acne. Maybe it was the testosterone. Maybe this baby had extra testosterone creating acne or something. Ashley: Yep, perhaps. I was just so convinced that I did everything. I bought baby girl clothes and all of that. Meagan: You were convinced. Ashley: Yeah, when I found out it was a boy, I was shocked. Everything was good though for the most part. There were no big issues once we got through the first trimester. What kind of happened was, I had never truly felt contractions before because with my first, I already had an epidural when I started to have contractions. I didn’t know what they would feel like. I was exactly 28 weeks. I went to the bathroom and there was mucus. I didn’t know. It was a lot. I ended up looking it up a lot and it looked like my mucus plug from what I saw. I had a doctor appointment the next day and after reading a bunch of things online, people didn’t seem to think it was a big deal. They grow back and sometimes that happens, so I wasn’t freaking out at all about that. I saw my doctor the next day, and she said that it was okay. It probably was just part of my mucus plug. She didn’t seem very concerned. The next week, I was leaving for St. Thomas on our last vacation as a family of three. It was very important to me. I wanted to go to the beach with my toddler and have uninterrupted time with him before my baby came. This was in March. My baby was coming at the end of May, so I was going to be 29 weeks. It’s a good time to travel I thought. We would get this great beach vacation with my toddler. I was cleared to travel. Everything was fine, and then the Monday when I was 28 weeks and 6 days, that night was horrible. I had so much pressure and I was tossing and turning all night. I just kept thinking I had to pee. I kept getting up, trying to go to the bathroom, and coming back to bed, but there was a lot of pressure. I didn’t think much of it, and I just knew I didn’t get good sleep. The next day was a Tuesday. All day long, I was having tightening on my stomach and pressure, but it wasn’t consistent. I feel like it was every 20 minutes to every 40 minutes. I would feel a little bit of pain. It wasn’t really bad though. I wouldn’t even call it pain. I would call it discomfort. I looked it up online. I was exactly 29 weeks at that point. I saw Braxton Hicks, and I was like, “That’s it. I’m just having Braxton Hicks.” It didn’t happen with my first, so I didn’t even know the difference. I was fine. I just went about my day. We were packing for vacation. We were leaving the next day. That night, that Tuesday night, we went to bed by 11:00 PM. We had to wake up at 5:00 AM for the airport. That night was excruciating. I could not sleep. I was in pain. I was having contractions every 10 or so minutes and tossing and turning. There was lots of pressure. I woke my husband up at 2:00 AM and we started talking about, “Should I go to the hospital?” I was like, “No, I think it’s Braxton Hicks. I think it will go away,” which is crazy now that I look back. It was really painful, and I was really trying to– Meagan: Talk it down to Braxton Hicks, and you’re early. You don’t want to think about it. Ashley: Yeah, I was 29 weeks. There was no way. Again, it did not cross my mind that it was actually real contractions because I was so early. Yeah, then there was a huge degree of denial going on. There was gigantic denial because I just wanted that vacation so badly. Not that I wanted a vacation, but I wanted that time with my son on the beach. We had been talking about it, so I just wanted to make it happen. At 2:00 AM, I woke him up. We talked about it. I was just like, “Okay. I’m going to get a heating pad and put it on my belly. I’ll just lay here and hopefully that will kill the pain.” I took some Tylenol as well, and it didn’t do anything. By 4:00 AM, I was like, “I’m getting in that hot bathtub, and I’m just hoping that stops this.” I was in the bathtub, which again, should have been my sign that you should leave for the hospital if you have to get into the bathtub and use the heating pad. If all of this stuff was happening, I should have gone in. By 5:00 AM, I was up. We were loading the car, and we were off to the airport. The whole time I was walking into the airport, I was stopping myself in my tracks to have a contraction. Meagan: Oh my goodness. Ashley: I was walking through the airport stopping, catching my breath, then I’d keep walking. It is absolutely wild that I got that far. It was a far walk to our gate. I was doing that a lot, and finally, we got to the gate. We were waiting to board. We were 5 minutes from boarding. People are actively boarding the plane. We are waiting to board last. I was like, “I’m just waiting to go to bathroom.” I go to the bathroom, and that’s when I passed a quarter-sized blood clot. I had light bleeding on top of that. I came back, and I looked at my husband and said, “I can’t get on that plane. I have to go to the hospital,” but I said, “You guys get on the plane, you and our son. Get on the airplane, and I will drive myself.” We had our car there. I was like, “I’m going to go to the hospital, and I’ll just rebook my flight for tomorrow. I’ll come out and meet you guys in St. Thomas.” Meagan: Oh my gosh. Ashley: We debated that. My husband went back and forth for a couple of minutes. He was like, “I don’t think that’s a good idea.” I was like, “No, it’s fine. They’re going to check me out and release me. I’ll meet you guys tomorrow.” Thank God he was like, “No. Let’s not do that.” Meagan: Yeah, seriously. Ashley: I still just thought everything was fine. I really thought that. I wanted to go so badly. We ended up that they had to get all of our baggage off of the plane. The crew was really annoyed with us, but so be it. Meagan: Whatever. Ashley: Yeah. We held up the flight a little bit for sure, and then I couldn’t even at that point walk back to the car. We called a wheelchair. Someone came and wheeled me out to our car. The hospital was only 20 minutes from the airport which was great. We got to the valet and we couldn’t bring my son in, so while my husband talked to the front desk, I waited in the car with my son. They said that my son couldn’t come into triage, so me and my husband obviously couldn’t leave him in the car. I just walked myself into the hospital. I got seen by triage, and right away, they took me back to the room. I said I was having contractions. They were monitoring me, and they were like, “It doesn’t really look like contractions.” I was like, “Okay, well something is happening. I’m in a lot of pain.” They put the monitor on me and didn’t see anything. Then they admitted me to one of the rooms in triage. They really wanted to check me, but I was not having that. I did not want to be checked. They really wanted me to go home. They ended up giving me an ultrasound, and everything came back normal with baby which was great, but they were like, “We don’t understand why you’re in so much pain,” because they still weren’t seeing contractions. They ended up seeing them on the monitor, and the doctor said, “I have to check you.” At this point, it was 11:00 AM. Meagan: I have to check you. Ashley: Yeah. She said, “We have to. We don’t know what’s going on with your body. You’re in a lot of pain, so we won’t know unless we check you.” She was really kind about it. I didn’t feel pressured because I had already turned it down. They had asked me and asked me, but they were like, “We don’t know what’s happening. We have to know where you’re at.” She checked me and when she was done, she looked at me and said, “You’re at 3.5 centimeters.” I just burst into tears because at that point, I knew that it was not good. I was too far dilated for 29 weeks. She said, “You’re not going to leave tonight. You’re not leaving until you deliver basically because you’re dilated. We have to keep you until your due date.” My due date was 11 weeks away. That was the hardest part because I knew I wouldn’t see my toddler until I gave birth. That was horrible. That’s what I cared about at that point. Obviously, I cared that my baby was healthy, but it was excruciating to think about that. Meagan: Mhmm. Ashley: They admitted me right away. They took me to Labor and Delivery. I told my husband because he took my toddler home. I told him, “They’re keeping me.” He came back to the hospital. At that point, the plan was just to stall labor as much as possible. Let’s get as far to your due date as possible. They did the magnesium drip immediately. They gave me steroid shots to help strengthen my baby’s lungs. They gave me one oral medication. I can’t remember what it was called, but it was supposed to help stall labor. That was all started and up and running by 1:00 PM. By 4:00, my water broke. With all of the interventions, my water still broke at 4:00 PM, and baby was coming. My water broke by 4:30, and then I was pretty much having contractions from that point on. They were pretty consistent and pretty painful. At 3:00 AM, they really started to ramp up. They were 3-5 minutes apart. They were really painful. At that point, I asked for an epidural. I was really clear that I needed it to be the lightest possible epidural. I talked about my past experience and how awful it was. I was going to try to not do an epidural, but the contractions were so intense that I was like, “I don’t think I’m going to be able to push because I’m in so much pain. I can’t imagine pushing through these contractions.” I had a great anesthesiologist who came in. He listened to me. He was absolutely wonderful, and he knew his stuff. He gave me the lowest possible dose just so I would be able to take the edge off of pushing. I could feel everything. That was in place by 4:20. I was complete before they did the epidural. I said that I would sit really still but to please give me the epidural. They did. I pushed for a couple of times, and he was born at 5:00 AM. I got to hold him. My husband got to cut his umbilical cord, and then I got to hold him for 30 seconds, then they had to take him up to the NICU. Meagan: Wow. Wow, wow, wow. What a change of plans dramatically, so dramatically. So once baby came out and went to the NICU, what were the next steps for you and baby? You got your amazing VBAC, but also, if I could ask, did VBAC matter at that point? Were you happy that you got a VBAC but your gears changed again to my baby is in the NICU? Tell us about that quick shift of events and what it entailed mentally. Ashley: Yeah. That relief of getting my VBAC was still so important to me. I did not want to have a C-section. I still didn’t. That was still top on my mind. I was really scared when I started pushing. I kept having that fear that he was not coming out and they were going to make me have a C-section. The fact that he came out when he did, I felt relieved. That feeling of being able to actually give birth vaginally was such a great relief. It was amazing. Meagan: Yes. Ashley: But yes. I was very, very happy about that. The recovery was so much easier. He was born at 5:00 AM. By 8:00 AM, I was standing and using the bathroom. I was fine. I felt wonderful. Even with him going to the NICU, he was healthy. I knew that right away. That helped a ton, but I feel like the trauma was lessened because I got my VBAC. I can’t even imagine what hell it would have been for me if I had a C-section. Meagan: Good. Ashley: He was perfectly healthy, other than being a premature baby. They didn’t have any concerns at all at the beginning. He just needed oxygen basically, and he needed to be in the NICU under supervision and watched. He was 3,3 when he was born, so he was pretty tiny. Meagan: Teeny tiny. Ashley: Yeah. Even with that, it’s surprising how painful that was. I thought because he was a smaller baby, it would not be as painful, but it was very painful. It was still worth it and amazing. The pain was all worth it. Yeah. Getting that VBAC meant everything to me. It helped so much with the trauma of it all. It was one thing I got to control in a situation where I couldn’t. There was so much out of my control. Meagan: Yeah. It was the one thing that you had planned, prepped for, and saw happening when everything else– you should have been on the beach hanging out with your family. All of those things that you saw happening didn’t happen, so to have that one thing happen, I’m sure felt amazing. Ashley: Mhmm, yeah. For sure. On that note, every single doctor we saw and nurse who came into our room was like, “Thank God you didn’t get on that plane.” Everybody knew that story knew that we were supposed to literally be boarding a plane when I was actually at the hospital. I almost did. I almost did. It’s wild. Yeah. Meagan: It is wild. Was there any indicator why you were having the blood clot in the airport and why you were having the bleeding? Ashley: So not until I delivered my baby and then I delivered the placenta, and the neonatal surgeon took my placenta and looked at it, and at that point, he said it looked like placental abruption. He found a 2.5-inch blood clot in my placenta, so he thinks that’s why I went into preterm labor. After I learned that, I looked it up and realized that it can be deadly to my baby. It can be deadly to the mother as well. That helped with the trauma of it all to wrap my head around it and to think that if I had gone longer, something so drastic like that could have happened to myself or my baby. At that point, I was definitely thankful that I had a preterm labor because that’s what brought me a healthy baby. Meagan: Yeah, wow. They didn’t even discover it until after. Ashley: Yeah. They had no idea. I don’t know if you typically see it in an ultrasound. I had a normal ultrasound at 20 weeks, and then they had one when I got triaged. They didn’t see anything, but the surgeon who looked at my placenta said that’s what it was. Meagan: Wow. Ashley: I’m so thankful. I really am. Being able to have that information helped me process it all and feel better about what happened. Meagan: I’m sure it offered some validation and took out a little bit of the why. Why did this happen? Why am I 11 weeks early? Ashley: Yeah. They sent the placenta off for, what’s the word? Meagan: Testing? Ashley: Yeah, they sent it off for an autopsy. It came back inconclusive and the doctor said that can happen with placenta abruption too so that was inconclusive, but again, the surgeon said that’s what he thought it was, so I’m going to accept that and be so thankful that my baby is here. When I think about what could have happened if I would have waited or if my pregnancy would have continued to progress, I really feel so lucky that it actually happened. That helped. Meagan: You know what? It just confirms to me how amazing our bodies are. When something happens outside of the norm, it responds. It’s like, “Okay. This is happening. Now my job is to get this baby out.” How incredible is that? It’s just crazy. Ashley: Yeah. With all of the interventions, he was coming. I just say that he’s a smart guy. He knew he needed to get out. He knew he needed to vacate, and he did. I’m just so happy for that. Meagan: Good. I’m so glad too. So then, having a NICU baby, how long did he stay in the NICU? Ashley: They anticipated 11 weeks which would have been his due date. He ended up getting out at 8. He was there for 8 weeks. He was 37 weeks when he was released which was surprising. He did wonderfully, so that was just so great that he got out when he did a couple of weeks early. But yeah, 8 weeks in the NICU. It was a long time. Meagan: That’s a very, very long time. Do you have any tips for parents who may have a NICU baby in the future or anything like that? Ashley: Yeah. I think the biggest thing for me, the first couple of weeks, we went every single day, but we didn’t put a ton of pressure on ourselves to stay for too long. At that point, he really just needed his rest, and he didn’t need to be stimulated by us at all. They didn’t want him to be stimulated. They gave us a couple of hours which was great, but I really let go of the guilt of being there 24/7. There were parents I saw who were there 24/7, and I would compare myself and feel guilty that I wasn’t doing the same. I also had a toddler at home. That was a big thing. In the beginning, he didn’t really need me to be there. He needed his rest. That’s one thing. Give yourself a lot of grace, and do what you need to do. Your baby is getting taken care of under the best supervision. We had the best doctors and nurses. We didn’t need to feel guilty about that. The other thing I didn’t know until a couple of weeks before I was discharged is that we could request a lead nurse. That made a huge difference too because every day, we had a different nurse, a night nurse, a different daytime nurse, and different weekend nurses. We found out from another parent that if we liked a nurse, we could request a nurse to be with our baby every single shift they had. Meagan: That’s awesome. Ashley: Yeah. When we learned that, we got to request nurses that we loved, and it was night and day. They obviously only worked three shifts a week, both of the nurses we requested, but I knew the days that they worked, and I felt so much relief because I knew that they knew my baby, and I knew how they took care of my baby. Meagan: Yeah. That actually sounds like it would be so amazing because you do. You can be cycling through quite a few people in those 8 weeks, so to have that familiar face and that relationship that you can get established, I’m sure meant amazing things for you guys. Ashley: Mhmm, yeah. Absolutely. That’s a tip I wish I would have known sooner. I really think it helped him progress too. I think people had said that having that consistent provider would be really helpful for the baby, and I really think it was. So there’s that, but I think I read a lot of support groups. Again, I was in them and reading different comments. Again, I think just relying on other people. We had a friend whose baby was in the NICU, and she was wonderful. They were wonderful. Again, I think it’s just finding support, and everybody said it feels horrible in the moment, but it’s going to be a blip in this story. It’s just going to be a blip. It was so hard to actually believe that, but now, it’s like, yeah. It went by so quickly. Now he’s here. He’s perfect. Yeah. Meagan: It was all worth it. Ashley: It was all worth it, and I got my VBAC. It was not exactly how I wanted it, but I got it. Meagan: Yeah. You know, we’ve talked about it on this show where even when we get a VBAC, sometimes it’s not the ideal birth or the ideal scenario or situation or even experience that we wanted. In the end, sometimes people are like, “I actually don’t know if I would have chosen the VBAC,” but most of the time people are like, “It was definitely not what I expected, but I’m still happy with the outcome.” Ashley: Mhmm, absolutely. It made me want to have another baby. I’ve heard that on this podcast. In order to have another VBAC or to have that vaginal delivery, it was just wonderful. Meagan: Yeah, it’s funny because I had my VBAC, and it was a really long labor. I’m like, “Okay. I want to do that again, but faster.” Ashley: Yeah. Meagan: Yeah. Maybe someday I’ll have another one. I think we’re done, but yes. Such great info that you’ve shared and such a beautiful story. I’m so glad that he is okay, and that you did not get on that plane and all is well. I was thinking about inflammation during pregnancy and how sometimes people can react differently. I wanted to learn more. I just looked it up really quickly about carpal tunnel affecting during pregnancy. I was shocked. This is quick research, so I don’t know the deep, deep depths of studies around this, but it says that it occurs when the median nerve in the wrist is compressed causing pain, numbness, and tingling in the hand, and it’s actually common during pregnancy. I didn’t think it was as common, but it says it affect about 60% of women during pregnancy. Ashley: That’s wild because I’ve only met a handful, not even a handful– I know other people. I was pregnant at the same time as a long of friends, and only two people that I know who I had talked to had experienced that. I had never met anybody else who said they had carpal tunnel. I’m sure to degrees, sure. Probably maybe mild carpal tunnel is 60% and maybe that severe is not as common. Meagan: Yeah. I’m not digging deep in because I wanted to see what it is affecting. It does say that the hormones can cause you to retain fluid, which can soften the ligaments and forms the roof of the tunnel and inflammation which also brought me down to Omega-3s. I don’t know if anyone ever talked to you about Omega-3s, but Omega-3s can help because fatty acids can reduce inflammation. I struggle with inflammation just from daily activities in my joints with working out and lifting and these things. I take Needed’s Omega-3’s. I thought that was interesting, too. I wonder if you’ve struggled with some form or severity of carpal tunnel and inflammation and things like that or things swelling around the joints causing pressure and pain if Omega-3’s can help. It’s worth asking your provider, right? Ashley: Yeah, for sure. Meagan: I know. It just seems so crazy and like such a high number. But obviously, it happens. There are things that you can do. Sometimes it just gets so severe like in your case that you just needed to have a baby to be done with that. Well, thank you so much again for sharing your stories with us today, and congrats on your VBAC. Ashley: Thank you so much. I am so appreciative of this podcast. Literally, everything I learned about what to avoid and what to do, I got it all from The VBAC Link, so I appreciate it so much. I really think it’s the driving force in me getting to have a VBAC. Meagan: Oh, that makes me so happy. Listen, Women of Strength, if you are still listening and you have recorded your story, listen to just how impactful your stories have been and the things that we share because each of these stories has nuggets of information and education along the way in addition to what we share within the podcast and the blog and on our social media. And here you are. You are just going to help someone else out there get the information and the motivation to go out and do it. Also, a reminder to not get on the plane if we are having symptoms like that. Ashley: Yeah. Meagan: Don’t even consider it, and don’t send your husband and your son. Ashley: Yes, thank God. Meagan: Okay, thank you so much. Ashley: Thank you. 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