We are honored to have THE Jen Hamilton join us on the pod today! Jen Hamilton is a labor and delivery nurse, viral TikTok creator with over 6 million followers, and author of Birth Vibes: Stories and Strategies for an Empowered Birth (May 2026), a warm, clinically grounded guide to navigating childbirth with confidence and calm. She is the founder of Hot Mess Express, a nonprofit offering judgment-free house cleaning and organizing for women in need, and a passionate advocate for dismantling systemic racism and misogyny in obstetrical and gynecological care.

A 2026 President's Award recipient from the American Nurses Association and a frequent presence in outlets including CNN, The New York Times, and The Huffington Post, Jen has become one of the most recognizable voices in modern nursing through her signature blend of clinical expertise, frank humor, and deep empathy. She is funny, kind, generous, gracious, and quickly becoming a household name!

In today’s episode, Jen sits down with Lily and Paige to chat all about creating the best vibes for your birth. They do a deep dive into VBAC, and ask questions that came directly from you all. This is an episode you DO NOT want to miss.

Today’s topics include:

• Using interventions as tools
• Why a provider may be the factor if someone will have a VBAC or not
• Dirty secret of OB
• How Jen feels about doulas
• How to ask for a new nurse
• Debriefing your birth
• Preparing for a different birth experience
• Expectations around coping techniques
• Giving yourself grace
• Baton race of coping analogy
• Funny and memorable stories in L&D
• Unique VBAC circumstances
• Failure to progress
• How she would improve cesareans and humanize the experience



Keywords: Jen Hamilton, labor and delivery, L&D nurse, OBGYN, cesarean, vbac, birth after cesarean, cbac, doula, birth vibes, epidural, failure to progress, tolac, vbac consent, hospital vbac

Birth Vibes: Stories and Strategies for an Empowered Birth

Jen's Instagram, TikTok, YouTube, Substack, Website

Needed Website: Code TVL for 20% Off

The Ultimate VBAC Prep Course for Parents

Online VBAC Doula Training

Tatiana is back with her second VBA2C story!! She first joined us on Episode 107 in 2020 where she dove into all the details around her first two C-sections and her first VBA2C. It was a planned HBAC turned hospital delivery with a supportive OB, but her heart still craved the home birth experience. In this episode, she returns with a full-circle update on the birth of her fourth sweet boy.

Her fourth birth was the HBA2C she was hoping for, aka a hotel birth after two cesareans with a midwife she deeply trusted. If you’re scratching your head wondering about these logistics, don’t worry! Tatiana shares it ALL.

We dive into a critical conversation around access. Many providers and hospitals still restrict VBA2C, and it is especially difficult to find support for an out-of-hospital VBA2C. Tatiana shares why expanding midwifery care matters, how pelvic floor therapy during pregnancy can support better outcomes, and why finding a provider you trust (no matter the distance) can make all the difference.

Keywords: VBAC, VBA2C, HBA2C, hotel birth, out-of-hospital birth, cesarean, prior vaginal birth, VBAC after two cesareans, birth access, midwifery care, pelvic floor therapy, provider support, informed consent

Episode 107 Tatiana’s VBA2C

NYT Article on Continuous Fetal Monitoring

The VBAC Link Blog: The 5 Most Common Reasons for C-section

The VBAC Link Blog: How to Navigate VBAC Hospital Policies

Needed Website: Code VBAC for 20% Off

The Ultimate VBAC Prep Course for Parents

Online VBAC Doula Training

We are closing out our Cesarean Awareness Month series on the most common reasons for C-sections with a deep dive into all things fetal monitoring! CNM Paige Boran, who attended Lily’s VBAC and who we deeply love and trust, answers every question you can imagine. This is definitely an episode you will want to save and listen back to often!

Midwife Paige talks about:

• The history of continuous fetal monitoring
• The differences between continuous, internal, and internal monitoring
• Bradycardia and tachycardia readings
• CFM and VBAC
• When she recommends having CFM
• How to advocate informed consent and declination
• Early, variable, and late decelerations
• Head compression and cord compression
• When fetal heart tracings become concerning & what empowered conversations look like
• Ways to help resolve decels
• Placental insufficiency
• All signs of uterine rupture
• How to make the decision of going for a C-section or continuing to labor
• Evidence on continuous fetal monitoring

And more!! We are so grateful for providers like Midwife Paige who we have seen in action and are willing to take the time to help educate our community. For those who question if they made the right call to have a cesarean or continue to labor due to fetal heart readings, we send you love. It is so tough!

Fetal heart tones are so nuanced. We hope that with this episode, you feel empowered with more knowledge to find a team that gives you the support and individualized care you deserve.

Evidence Based Birth®: Evidence on Continuous Fetal Monitoring

NYT Article on Continuous Fetal Monitoring

The VBAC Link Blog: The 5 Most Common Reasons for C-section

The VBAC Link Blog: How to Navigate VBAC Hospital Policies

Needed Website: Code TVL for 20% Off