After an emergency cesarean at 29 weeks due to HELLP syndrome with an ICU stay for herself and a 2-month NICU stay for her baby, Yazmine was told she would never have a vaginal birth. She was also given mixed information about the type of uterine scar that she had. But with lots of diet changes and medication, Yazmine didn’t have preeclampsia or HELLP the second time around. She chose a repeat cesarean following her doctor’s strong recommendation.

During her third pregnancy, Yazmine educated herself on VBA2C, found a supportive provider through another TVL mama on the podcast, and continued with the same lifestyle changes as before. She had PROM at 38+6, labored for 40 hours with a Foley bulb, Pitocin, and got an epidural before having her beautiful VBA2C at 39+1. Yazmine had no tearing and the amazing recovery she was hoping for!

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Alexis is a Type 1 diabetic mom of three boys from Nevada. Her first birth was a 37-week induction due to her diabetes that ended in a vaginal delivery. For her second birth, Alexis was told she needed a cesarean because her baby was expected to be "massive," but after birth, he was perfectly average-sized. In the OR, her providers admitted their prediction was wrong, and Alexis was devastated. Alexis was determined more than ever to educate herself and advocate hard for her next birth.

During her third pregnancy, Alexis navigated polyhydramnios, multiple provider changes, and concerns about possible fetal heart abnormalities that ultimately turned out to be no issue after birth. But even with these challenges, still advocated and achieved her unmedicated VBAC. Her labor ended with a shoulder dystocia with her baby having a broken arm, but with a smooth recovery. Alexis shares how TVL, research, informed decision-making, educating her support team, and using the B.R.A.I.N. acronym helped her throughout her pregnancy and birth journey.

Note from Alexis: “There was never a real explanation as to why they suspected he had ARSA, the increased velocity, or the small hole in utero. And as a tip for anyone in labor, honey is considered a clear liquid, and the cheap honey bears at Walmart are great during labor! I took swigs off of it during labor for energy and to keep my blood sugar up. The midwife came to check on me at one point mid-swig and said that was the first time she had seen that in her 25 years. I couldn’t find honey sticks locally for a reasonable price, but I could find local honey bears.”

Keywords: VBAC, Type 1 diabetes, juvenile diabetes, induction, 37-week induction, scheduled cesarean, suspected macrosomia, big baby, polyhydramnios, unmedicated VBAC, shoulder dystocia, broken humerus, birth injury, fetal heart concerns, ARSA, informed consent, B.R.A.I.N., VBAC prep

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Allison Parker is a pelvic floor physical therapist and mom of two from South Carolina, joining us today to share her journey to an induced VBAC after a cesarean for breech presentation. She talks about navigating a failed ECV, postpartum hemorrhage, postpartum preeclampsia, and her tough second pregnancy which ultimately led to an induction at 37 weeks due to preeclampsia. Allison tells us what helped her feel prepared, including finding a supportive provider, hiring a doula, hearing other women’s stories on The VBAC Link (!), and learning to pivot when things had to change.

As both a VBAC mom and pelvic floor PT, Allison also shares practical advice for preparing for birth and recovering postpartum. We discuss perineal massage, C-section scar massage, open glottis pushing vs. when to use closed glottis pushing, pelvic floor recovery, healing after a 3rd degree tear, and why the mental and emotional preparation are just as important as the physical.

Keywords: VBAC, induced VBAC, breech, ECV, preeclampsia, postpartum preeclampsia, postpartum hemorrhage, pelvic floor physical therapy, 3rd degree tear, pelvic floor recovery, vaginal recovery, C-section recovery, scar massage, perineal massage, epidural VBAC, supportive provider, doula

Rome Physical Therapy

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