My VBAC Birth Story

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Gina Crosley-Corcoran is a mother of two young sons, pre-law student at Loyola University, and empowered-parenting activist. You can read Gina's ongoing blog at The Feminist Breeder.

In the nearly two years since my VBAC (Vaginal Birth After Cesarean), I have had the pleasure of bearing witness to a plethora of other VBAC stories through my connection to the birth community. Many mothers know they want a VBAC, but they may not be clear on what steps to take to get there. Over the next few days I want to share some tips on how you can have your own beautiful VBAC story, but first I want to share my story.

My labor began just moments after I arrived for my last scheduled day of work before maternity leave. I felt a hard contraction, then my mucous plug came, and intense, steady surges followed. Things seemed to be moving quickly, so as soon as my husband got into work, we turned around and headed for labor and delivery. I wanted to labor at home because I felt that it would increase my chances of having an intervention-free birth. However, since we took the train to work, I would have had to labor on the train to get home. The hospital was just a cab ride away.

We were checked into labor and delivery where we met out doula. I hired her at 37 weeks pregnant after it became clear that my doctor was no longer being as supportive of my VBAC plans as he had been originally. There was no medical indication for his shift, he simply did not like my birth plan. I wanted someone at my birth to help support my informed choice to avoid interventions unless medically indicated. Though I handed out bound copies of my birth plan to everyone I came into contact with at the hospital, the staff was not honoring my wishes to labor in the birth tub. I tried sitting in the shower, but the hot water was broken in my room. I had planned to go natural, but requested the epidural when I felt my pain relief options were being limited to that.

Just as it had the first time, the epidural slowed my labor. My first son's birth ended in a cesarean after my obstetrician chose to induce me for being 5 days past my due date. My body was not ready, and I only made it to five centimeters in that birth. I started to get worried the same thing would happen again.

At the end of the workday, the doctor said he wanted to go home and told me I needed a cesarean. He said it was a “failure to progress” and I told him it was a “failure to wait.” I sent him home and kept laboring. By the next morning I made more progress, but it did not satisfy him. He then told me I had no choice to but consent to surgery, and I told him I was not consenting until I felt like it was the only option. He spent the next few hours trying to coerce me into it; telling me my uterus “just might not work” and that I was asking for my baby to be born with “cerebral palsy”. My baby's heart tones were fine, there was no sign of infection, and my only major issue was the stress the staff was putting me under. The doctor did not see it that way, however.

After hours of fighting, my husband finally took my doctor into the hall and explained that I would not be consenting to unnecessary surgery. My doula showed us a trick to get my labor moving again, which included shutting off the epidural. By the time the sun set on the second day of my labor, I was finally in transition. At 10:01 pm, 38 hours after my labor began at work, my son Jules was born vaginally after only five pushes. He weighed 9 pounds, 10 ounces and was as healthy as any baby could be.

What’s your birth story? Are you facing a birth after an earlier cesarean? I’d love to hear from you.

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April 26, 2010
Note: This Perspectives Blog post is written by a Guest Blogger of DrGreene.com and is provided in order to offer a variety of thoughtful points of view. The opinions expressed on this Perspectives Blog post do not reflect the opinions of Dr. Greene or DrGreene.com. As such, Dr. Greene and DrGreene.com are not responsible for the accuracy of the information supplied. This post is used under Creative Commons License CC BY-ND 3.0.
 
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Comments

Anonymous's picture

VBAC Stories

As a Registered Nurse working in Labor & Delivery I love to read birth stories and fully support women having choices in their birth experience. I understand why some patients feel a lack of support from their providers and why they sometimes think there is "no medical reason" for not allowing them their choices. However, I think it's important to understand several aspects that may not have been considered. We allow VBACs at the hospital where I work - the only one of the three hospitals in our area and the only one in a 150-200 mile radius. In order to allow VBACs in an institution, you have to have providers who are willing to accept the added risk and whose insurance companies will cover them. The risk for the "ideal" VBAC candidate may be small, but it IS still a risk. Then, typically, an OR has be available i.e. open, empty and ready to go on a moments notice. The provider must stay in-house also ready at a moments notice should there be indication of uterine rupture (no going home to dinner or to sleep or even back to the office to see scheduled patients). Likewise for anesthesia. They must have a provider in-house, not doing other cases, mind you, but again ready at a moments notice. Even if your epidural free labor goes as planned, you can't have an emergency cesarean without anesthesia. It also requires additional nursing staff. All of these things are required to maintain a "standard of care" and ensure the safety of the laboring mom and her soon-to-be-born child. Unfortunately, we live in a world where most people expect a perfect outcome. If something goes wrong, they immediately look for someone to blame and it's usually the hospital, the doctor, and anyone else involved in their care.
The need for defensive medicine is why there is so much resistance to VBACs and often why there are so many interventions during labor. You may be willing to take those risks but the reluctance of the hospital and the providers to do so doesn't mean they're uncaring and just want to get home in time for dinner. A complex issue with no easy answers.

Still Waiting for a VBAC ...

I have had two c-sections after planning both to be natural. Both were due to breech babies, both were for non-genetic reasons. I sincerely hope my next baby will be the VBAC I've been waiting for.
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Debi Valentine Tonks