Episode 298 Jenny's VBAC After Baby Was Breech + Intense Travel

Jenny’s story is one of pure gratitude and joy. She is so grateful to be a mother, for the miracle of her pregnancies, for a breech baby who flipped late in her second pregnancy, for the chance to experience labor, and for a beautiful, successful VBAC. Jenny talks about all of the ways she prepped and how she even had to travel over a mountain pass during a snowstorm while in labor to get to her VBAC-supportive provider. Meagan shares some statistics about breech birth and why we so badly need more providers trained in vaginal breech delivery.A long-time listener of The VBAC Link Podcast, Jenny shares her story with so much joy hoping to inspire other Women of Strength just as she was inspired by so many others. PubMed Article: Risk of Vaginal Breech Birth vs. Planned CesareanHeads Up DocumentaryInformed Pregnancy - code: vbaclink424Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details 02:58 Jenny’s first pregnancy with gestational diabetes06:10 Low amniotic fluid, breech presentation, and a C-section10:22 Healing in different ways14:16 Getting pregnant again and doing all of the VBAC prep22:52 Gestational diabetes test27:59 Breech at 34 weeks32:33 A head-down baby35:11 Traveling the mountain pass in a snowstorm39:43 Checking into the hospital45:42 Fetal ejection reflex49:20 Pushing out baby and postpartum blood loss57:10 Jenny’s advice for breech mamas1:00:22 Statistics on vaginal birth versus planned Cesarean for breechMeagan: Hey, hey. You are listening to The VBAC Link Podcast and we have another amazing episode for you today. We have our friend, Jenny. Hello, Jenny. Jenny: Hi. Meagan: How are you today?Jenny: I’m good. I’m so excited. This is just– I am reeling actually that this is actually happening today. Meagan: I am so excited that it is. You know, it’s so fun to get submissions in and then when we send them out, people are like, “Wait, what? Really?” Jenny: That is exactly how I felt. I was like, “This is never going to happen, but I’m just going to go for it. I’m just going to submit it.” I mean, The VBAC Link was such a huge part of my whole story and just to be on here and hopefully share something inspirational with somebody else, hopefully it helps somebody. That’s my goal today. Meagan: It will. It’s absolutely going to. The whole podcast, sorry if you guys hear any noise in the background by the way. I’m getting a new furnace today and he’s installing it downstairs literally below me. So sorry if there’s any extra background noise. But this podcast is literally something that I wish so badly that I had when I was going through my VBAC. Obviously, that’s one of the reasons why we were inspired to create it, but every single story, even though they all might have similarities or even be in similar places, they are so different and unique and I love that. I love that almost 300 episodes in, we can prove that every birth is different. It’s true. Every birth is different and you went through a lot with your births. I mean, I’ve got her list right here of things. You guys, this is going to be a jam-packed episode. She’s got gestational diabetes, breech, advanced maternal age, and trusting the process. We’re going to talk about traveling literally over a mountain pass. She drove over a mountain pass to find what she needed so I’m so excited to dive into your episode in just one minute after the intro. 02:58 Jenny’s first pregnancy with gestational diabetesMeagan: Okay, Jenny. Here we go. You are– are you ready? Are you ready? She is dancing in the background. You can’t see her but she is literally dancing. You can see she is so excited to share this amazing story with you. Jenny: I am so ready. Okay, so let me go back four years to my C-section baby. I can’t believe it’s been that long. Being a mom was never in the cards for me. I’m just going to start out by saying that. My husband and I, we had been married for 15 years. We went on this fabulous cruise and we were just having the time of our lives. We had a conversation that if I was past 30, it just wasn’t going to happen for us and that was okay. So we never planned to have babies and then we had the most wonderful surprise of our whole lives. One day– I don’t even know it had been since I had my period so I was like, “Oh, I’ll just take a test.” He saw it and was like, “What is this?” I said, “I’m 98% positive that it’s going to be negative. I just do this sometimes. It’s fine.” I get out of the bathroom with this blazingly positive test and he’s like, “No way. I don’t believe that.” So I had to go the doctor and prove to him that I was. Anyway, I loved being pregnant. It was so incredible. The miracle of just growing a baby is beyond words. Just that first flutter to knowing that you are creating a human inside of you to the first ultrasound– anyway. I started listening to “The Birth Hour” and I went down the rabbit hole. I love it so much because like you were saying before, it shows you so much about the differences. I didn’t know what I didn’t know, so it was just an education in itself. I went down the rabbit hole and I am such a birth nerd now. I had no idea. When I found out I was pregnant, the first thing that came to my mind was, “I have to give birth. I’m so scared,” because of all the fear. We get so much media fear. You see all the people screaming and pushing. It just looked traumatizing then I remembered I had seen The Business of Being Born and I was like, “No.” I have always been this closet hippie. I was like, “No. I’m going to do this and I’m going to do it right.” I found myself at 28 weeks. We did a gestational diabetes test and I walked into the doctor’s office and she was like, “You have gestational diabetes.” I was like, “No I don’t. No, I don’t.” She was like, “Yeah, you do.” She was like, “You are going to give birth at 39 weeks here. You are going to be induced. You will give birth on your back. You will do this. You will do this.” The language she used with me was so– I felt so defeated and I was only 28 weeks. I was so disappointed and it was a midwife. It was a midwife practicing under a hospital OB practice. But I live in a really small town, so it was the only midwife I could find really. Home birth wasn’t an option for me. We do have a home birth midwife, but it wasn’t affordable at the time. 06:10 Low amniotic fluid, breech presentation, and a C-sectionJenny: It turns out that I had low amniotic fluid and you know, they send you in for all of these screenings and tests once you know you have gestational diabetes. They were really concerned about it one time when I went in and they were like, “I don’t see any amniotic fluid, like any.” They actually kept me overnight and pumped me full of saline.Meagan: A bolus?Jenny: I was drinking water. Yeah, it was crazy. They checked the next morning and they said, “Yeah, you still don’t have any amniotic fluid so we’re going to send you to an MFM over the mountains,” which is about an hour and a half away in the city. When I got over, the MFM walked into the room. She didn’t even say hi to me. I was 34 weeks at the time and she was like, “We’re keeping you here. You’re going to have this baby. You’re not going to leave this hospital until you do.” She hadn’t even talked to me. She never said, “Hello.” I mean, she just looked at my chart. She didn’t do any tests on me. I was just blown away by how she talked to me. I was just like, “Are you kidding? Hi. I’m a person.” The did the test right there and then. It turns out the city doctor and their tests are so much better. Based on the total amount of amniotic fluid, they released me that day. As I was walking out the door, she was like, “By the way, I’ll see you back here for your delivery because your baby is breech and you’re not going to have her naturally.” I was just like, “Okay. I’ll show you. I’m going to flip this baby.”Anyway, I went down the rabbit hole. I did everything. I even signed up for the ECV. I don’t want to traumatize anybody, but there were three people pushing on my belly trying to get that baby to turn and she didn’t budge. She was there. I did have some lower amniotic fluid.Meagan: That can be a sign too if baby really, really, really isn’t budging that’s usually a sign that an ECV– and if it’s extremely painful, sometimes the ECV just isn’t going to be successful and sometimes we have to trust those little babes, right? There is a reason why. Jenny: Mhmm. Mhmm. I totally agree with you too. I even was mourning the loss this whole time because I so badly wanted to give birth just to experience it. I don’t know. It’s an innate woman thing. Men can’t do it. It’s something that I never experienced in my life. What else can we go through in our lives that you have to wait until you’re an adult to feel? It was just this phenomenon. I was so curious about it and I wasn’t even getting the opportunity. I was telling a nurse about it one day when I was getting a test done, “I just want the chance.” She was like, “Oh, honey. You don’t want to ruin your cervix by pushing out a breech baby.” I was like, “Oh, so I would break myself?” I didn’t say anything because at the time, I was this pushover. I was just like, “I’ll do whatever,” but inside, I was dying. I just wanted the chance at everything. So I got to the point where I just walked into the OR with the MFM because she does five of them a day and I trusted her more than I trusted our small-town hospital. Jenny: The C-section was uneventful. It was really easy. We did the labor baby dance before we went in there and then I saw her come out of my belly and I was thinking, “I don’t know this baby.” I felt disconnected but at the same time, I was overjoyed. I cried because they took her right over to the warmer. The anesthesiologist was right by my head and she was like, “Why are you crying? Are you okay? Are you in pain?” I was like, “No, that’s my baby and I can’t hold her and I’m right here.” The didn’t tie me down. Nothing was traumatic. I was very prepared. Meagan: They just didn’t bring her over. Jenny: No, I was separated. They were weighing her and laughing about how she was and I was trying to see her. Anyway, it’s just not natural. I mean, it’s just not how you want to have your baby. They did put her on my chest and everything was great. 10:22 Healing in different waysJenny: Fast forward six months, I was done with it. I was like, “Maybe we’ll only have one. Maybe this will be it.” We weren’t planning on having a baby anyway and we were just loving being in that baby nest. COVID started and talk about a crazy time. I definitely suffered a lot from postpartum anxiety. I had a lot of expectations maybe about motherhood and stuff. I really learned a lot. The transformation to motherhood is like a phoenix rising from the ashes as a total personality makeover. You’re just coming out of this, “This is who I was and this is who I’m becoming and this is what I’m learning.” Kids really teach you that, don’t they? They teach you how to fight for yourself and fight for them if you can’t fight for yourself, and I just found that postpartum is harder than it should be. We don’t have the support we have and it really, yeah. It made me go into a deep dive of what was going on with me. I started listening to The VBAC Link actually. I found it one day when I was listening to a “Birth Hour” podcast. It was six months and I was like, “You know, I’m just going to listen.” I was like, “I love this. I enjoy it,” but I couldn’t relate to it anymore. I searched VBAC on Spotify and you were the first person that came up– you and Meagan at the time or, you and Julie. I was like, “This is me.” I could connect to all of the stories because women were sharing the same feelings that I felt and the same things so thank you so much. It was inspirational to feel like, “I can do this. I can do this again.” I remember even talking to the OB when she was stitching me up in the OR. I was like, “I can have a VBAC, right?”At the time, I wasn’t really planning it or whatever and she was like, “I’m doing the double stitch, don’t worry. You are a good candidate.” I was like, “Okay, that’s cool.” It was so far out but just listening to the stories and knowing that I could do it, it was like, “I could do this again.” But I needed to listen for a long time to feel like I was ready and stuff. A lot of your episodes talked about working through past trauma so I started doing that. I started EMDR. I did pelvic floor physical therapy and I just want to talk about that for a minute because I cannot believe how ashamed I was to do it I guess maybe. I just want to say that really quick because I have a vaginismus and that’s when your muscles involuntary close into your vagina and it’s because of past trauma. So doing EMDR coupled with the pelvic floor physical therapy was really something that was so useful and I was so ashamed to do it because I’ve had it for years and I remember my GP suggesting it one time and I was like, “Absolutely not. I’m not having anybody touch me.” I just wasn’t ready. Meagan: You’re vulnerable. Jenny: It is. I was so ashamed and I don’t know why. I was talking to my pelvic floor PT about it. It was the first session I had with her. I was like, “I was so ashamed and I’m ready now.” She was like, “I can tell you are ready.” It was so healing to go there and to work through some of that. While it never got better for me, I know how to work with my body now and that kind of comes into play with my vaginal birth because in a way, I was a little bit relieved. Sometimes when I thought about it, I was looking at the silver linings of the C-section. You just walk right in. I was also thinking that I wouldn’t have to deal with this problem that I was really afraid of having. 14:16 Getting pregnant again and doing all of the VBAC prepJenny: So anyway, big plug for pelvic floor physical therapy. Since I had gestational diabetes, I read Lily Nichols’ book. I just listened to the episode on her. She is amazing. I can’t believe I didn’t know about her before. I had heard her on another podcast and I just thought, “I need to read this book.” She is amazing. Meagan: Yeah. Jenny: There are so many amazing birth workers out there– her and Rebecca Dekker from the “Evidence-Based Birth Podcast” and the “Down to Birth Podcast”. All of those people taught me something very unique and special about birth. It’s just this education, right? All of this knowledge and trust that we really have to get. We have to work through some of our things– traumas or whatever it is. Things that culturally have been accepted in our mind about birth and we get to this point where all of a sudden, I was excited. I was like, “Maybe I could do this again.” I did all of the things. I started eating eggs, Vitamin D, and magnesium and taking the protein supplement, the collagen powder. I even went non-toxic for my cosmetics and my house care. I started this. I heard this girl’s birth story. Her name is Bae. She is from Australia. She does this whole program– Core and Floor Restore. I loved her birth episode. I listened to her. I went to her website. She has this whole program on how to help your pelvic floor and how to exercise post-birth. The way she talks to women in there, she is like, “Do you. You do you. Don’t push it. Don’t force something that you can’t do. If you can’t do this exercise right now, modify it so that you can.” It was just this education of how to trust your body, how to trust birth, how to–Meagan: Trust our minds, our hearts, and our gut. Jenny: Yes, that’s part of it. Yeah, yeah. Anyway, all of this transformation got me to the point where I was like, “I have to be a doula.” It wasn’t in the cards for me to be a birth doula even though I am a huge nerd. I have to have a scheduled life. Meagan: Maybe postpartum? Jenny: Yes. Yes. I was like, “I want to be a doula, but I will be a postpartum doula.” I actually really love helping women work through some of these things that were so transformational to me. Just overcoming some things that you didn’t know about yourself but you are forced to face in motherhood, so I became a postpartum doula and it is incredible. I love it so much. Then I decided I was ready. I was ready to have this second baby. I was ready to have my VBAC and I did a deep dive into providers because that was what you told me to do. I needed to know if I could do this and so I went to my hometown hospital and I was like, “Hey. Can I have a VBAC here?” They were like, “Absolutely not. We will schedule you for a C-section at 39 weeks so that you don’t go into spontaneous labor.” I was like, “Okay.” So I went to the midwife and I was like, “Hey, can I have a VBAC here?” She said, “Well, I could support you but I shouldn’t. I don’t have the resources. I would want to support you, but ultimately, I shouldn’t.” So I was like, “Okay. Okay.” I was like, “I’ve already established myself at this big hospital over the mountains. I’m going to ask them.” I went to them and they were like, “Yeah, we’ll support you.” They had this outlying hospital in the mountains. It is absolutely beautiful, these giant windows looking out over the Pacific Northwest and I’m telling you, I live in the best part of the country but it’s really bad so don’t move here. That’s for anybody that’s thinking about moving here because we like it being a small town. I had my heart set on this beautiful outlier hospital. I called them. I’m getting ahead of myself. I had a conversation with my husband after I found them. I was like, “Hey, we should have a second.” He was like, “I don’t know. It’s really hard. We’re older now.” I was 35 at the time. He was actually 44. We have a pretty big age gap. We weren’t going to do it in the first place so we had some big conversations. I was like, “Okay. Let’s just try for 6 months and if it doesn’t work out, it doesn’t work out. It wasn’t meant to be.” We have a really strong faith so we were just like, “Maybe we weren’t meant to have it.” It was really fun actually trying instead of trying to prevent pregnancy. I had never been in that boat oddly enough having a baby and stuff. But it was really hard and I was trying to visualize conception. I was like, “It seems impossible how it all happens.” Meagan: Timing and everything. It’s amazing. It’s amazing. Jenny: It’s incredible just visualizing it all. It’s incredible how it can actually happen. At the time, I was thinking, “Man, it’s not going to happen.” Five months went by and I was doing all of the testing. I was making sure and it was really fun to nerd out on this side of it beyond the total planning side of it. I love that part. Yeah. Finally, one day seven, six days after I ovulated, I felt all of this cramping and I was like, “Maybe this is the implantation.” I think five days after that, I tested and I had the tiniest, faintest line. I was like, “Holy crap.” I did not think it was going to happen. It was just so amazing. I kept it to myself all day. It was my little secret except I went in and told my little one. She was three at the time. I went over and I was like, “Hey, you’re going to be a big sister.” She looked at me and I was like, “But keep it quiet for a day.” Meagan: Don’t tell anybody. Jenny: I wanted to take the test the next day that said you are pregnant because I didn’t want the same reaction from my husband the second time. I was like, “I’m going to give him the test that says, ‘You are pregnant’.” So I did. I did. I gave him the test and he was like, “Oh my goodness!” Actually, I had her give it to him the next day. It was so cool. It was just this sweet little moment. My age really concerned me. I thought I would be so chill because the first pregnancy was like, “Whatever, I didn’t plan this. Whatever happens.” With the second one, I had the fear in me that my age was against me. His age is against me now.I spent more time than I wanted and I regret feeling not anxious but just disconnected. I was really afraid to connect to this pregnancy because I know a lot can happen in early pregnancy and I really want to say that to other people who might have the same feelings that you are not alone in feeling that way because it is really scary. I got to my 20-week ultrasound and I was holding my breath the whole time she was doing the test.  She was looking and looking. She was being really fast and really efficient. They actually asked us to leave the room and go wait out in the lobby for the doctor to come get you. I was like, “This doesn’t sound good. I don’t think this is right.” I was so anxious and the doctor just walked up to us casually in the lobby and was like, “Everything looks good. See you guys later.” Nothing was wrong. I started bawling and I could not stop sobbing for so long. I’m not really a crier either. It was the confirmation that everything is going to be okay and we did it. I can’t believe it. It’s so hard to get pregnant and then everything is going good and stuff. I was really excited about that. I was also really hyper-aware of her positioning because obviously, I had this past breech. So from 20 weeks on, I was legit obsessed with sitting upright, leaning forward. All the time, I was turning my chairs around. I was never reclining on my couch. Even in my car, I was sitting straight up. I was like, “I’m uncomfortable 100% of the time.” I was trying really hard not to have a breech baby because even at my 20-week ultrasound, they looked and were like, “Yeah, she’s breech but anything can happen.” I was like, “I know, whatever.” 22:52 Gestational diabetes testJenny: I was doing all of the things, right? Spinning Babies, I was going to acupuncture. I was going to pelvic floor physical therapy, the chiropractor, all of it. I was chugging along. At 26 weeks, I get my gestational diabetes test. I talk to my midwife about it and she was like, “Yeah, we can just do the two-hour test because we know you had it last time. You might have it again this time.” I was like, “Okay. I think that’s a good idea.” I didn’t mention this before, but with my first test, my midwife wouldn’t even let me retest. She just said, “You have diabetes.” It was just the one-hour screening. It’s not a diagnostic, but I got the diagnosis from it anyway. I was like, “Why wouldn’t you let me retest?” She said, “Your number, I just felt like you have diabetes.” I don’t know. I was pretty upset about that. They wouldn’t even let me try. I know other people who retest all the time and they are negative with the three-hour test. It didn’t make sense to me. So anyway, I went into this one pretty informed. I was like, “Hey, I want the three-hour test. I want to know if I have it,” because if you have it, it’s not a good thing and you really want to control it. My first one was diet-controlled. She ended up being 6 pounds, 9 ounces. Meagan: Little. Jenny: She was tiny and she was 39 and 6 when she was born. I wouldn’t let them take her earlier than that even though they wanted to. I was like, “No.” They were like, “We won’t let you go to 40.” I was like, “Okay. You can have her at 39 and 6 then.” I was so mad at them. Anyway, I digress. Jenny: Okay, so I did the two-hour test. I felt so sick. I was like, “For sure, I have it again.” I had been eating a gestational diabetes diet the whole time. I was like, “I’m just going to take care of my body.” I felt amazing taking care of my body like that so it’s really kind of a blessing in disguise having it. I would not say that having been diagnosed with it the first time. I thought that I was a failure and whatever, but you’re not. Meagan: No. It just happens. Jenny: Yeah, it happens. My mom has diabetes. I shouldn’t be surprised, but I was healthy and I was thinking that it would never happen to me and it did. So anyway, I took the test and it turned out negative. I couldn’t believe it so whatever Lily Nichols did in her book, I did all of the things that she told me to and it worked so I’m just going to give a shoutout to her. Thank you because you helped me have my VBAC and I couldn’t be more grateful for just not having it because then I kind of ate whatever I wanted. It was great. I gained a little weight and it was really fun. It was the opposite of my first pregnancy. I was carefree and I had a lot more flexibility to do things I really wanted. Anyway, that was really cool. But also at my 26-week appointment, my midwife felt my belly and she was like, “You know, your baby is frank breech.” She was like, “I’m just saying that. There is obviously plenty of time for it to turn, but we want to see a head-down baby by 30-32 weeks.” I need to back up just for a second. I wasn’t able to use the midwives that I wanted at that outlier hospital from the city because I chose to do a bloodless program and they don’t support that even in the outlier hospital. It is only the ones in the city. It was an hour and a half drive through city traffic and a mountain pass. I was due in February and our mountain pass is no joke. It closes for multiple days during the winter a lot of times, so going that far was part of our conversation in having a second. I was like, “I’m not having a VBAC here in town. Can you drive me?” He was like, “I’m not scared. Let’s do it.” That comes into play later, but it was a lot. I had to use the bloodless program in the city which meant traffic, snow, ice, all of it. They chose to support me which was great. I found them and I’m grateful that they were but they weren’t the dream team as far as being really supportive. I would say they were tolerant of me being there. Meagan: Tolerant of you going for it but not super on board. Jenny: Yeah, exactly. They were like, “Yeah, this is great.” They weren’t saying, “This is what we need to see.” They weren’t saying, “You need to be in spontaneous labor by 39 weeks.” I was drilling them. I was doing all of the things. I was like, “What do you require of me? Can I go to 42 weeks? I want to know.” I had never felt a contraction before so it was honestly like, I knew I went to 40 with my first so I’m definitely going to go to that with my second at least I thought. I did all of the things to try and flip her obviously when they said that, but at 35 and 6, she was still breech. Actually, it was 34 weeks. I had even gone to acupuncture and felt her physically flip. She did the flip in my belly. I’m not joking. I felt her move the entire way down head down. I woke up in the morning and she was breech again. I was like, “Okay. She can do it. I know this baby can do it.” 27:59 Breech at 34 weeksJenny: I kept doing all of the things until 34 weeks which is when most babies are head down. I was like, “You know what? I’ve listened to enough podcasts and stuff to know that I needed to let some things go.” I regretted a lot about my first birth. I hoped until the last minute that I was walking into the OR that she was going to flip and she didn’t. I was like, “You know what? I want to enjoy this pregnancy. I don’t want to feel like I’m doing all of the inversions of my life.” I was doing headstands in my hot tub. I was doing everything and I was like, “I’m going to let this go.” I chose to let this go at 34 weeks and I was like, “I’m going to enjoy this whether I have a C-section or not even though I really want a VBAC.” My faith is a really big part of that because I was just praying, “I believe so much that our bodies are incredible and they were made for this.” And to not have the chance to even try is heartbreaking. It’s sad that we don’t have breech providers because these OBs are professionals. They are professional. They get trained for years in how to do this and that we don’t even have a chance with them boggles my mind a little bit. Meagan: I know. Jenny: Anyway, I’ve heard a lot about just having the chance to experience what women are made to do and just feel. Even if it’s hard and even if it’s painful and whatever, I just wanted the chance. I found this renegade OB in a different city. He was willing to do this ECV on me because I heard he had a good success rate. I was like, “I’m going to do it again. I don’t care. I’m just going to try.” At 35 and 6, I binged on the Evidence-Based Birth Podcast because she has a couple about VBAC and she has a couple of episodes about birth. I wanted all of the stats in my head. I was like, “They are not going to deny me this ECV because I have this scar on my uterus.” I was dead-set. I knew ACOG by this point. I walked in and I was like, “I’m going to do this. Let’s do this.” He was like, “Okay. This girl knows her stuff,” because he was like, “I probably shouldn’t do it because of the C-section.” I was like, “No, ACOG recommends that I am not a risk.” I knew and he was like, “Girl, you know your stuff. All right. You know the risks. Let’s try it.” Meagan: That is so interesting that he was trying to scare you out of it but because you knew the stats, he was willing to do it, but if you didn’t know the stats, what would have happened?Jenny: Right? I wonder and I don’t think it’s fair that women have to become experts in the field that’s not our job. Our job is to grow this beautiful baby in bliss and instead, we’ve got to fight for everything, something that we should be able to do. 32:33 A head-down babyJenny: I get in there and he puts the ultrasound machine on my belly. As I was driving myself there, I was thinking, “Man, these kicks are weird.” They were fluttering up here and I was like, “That’s so weird.” It was under my rib instead of down below. I thought, “That’s really weird.” He put the ultrasound machine and he was looking right down where my cervix was because that’s where he should see feet and he laughed and he was like, “That’s a head. Your baby is head-down.” I was like, “No, it’s not. I felt her head last night right under my ribs.” He was like, “No, her head has moved.” I poked, poked, poked and I was like, “Are you kidding me?!” I hit him and was like, “You’re kidding me, right?” He was like, “No, girl. You’ve got a head down baby.” I was like, “I’ve never felt this before! I’ve never had a head down baby!”I was in my second pregnancy, 36 weeks along pretty much and I had never had a head-down baby so I just want to say to all of the breech mamas out there, it can happen and maybe it can’t. I don’t know. I was convinced that I grew breech babies at that point because I was pretty far along there. Anyway, so that was the biggest surprise of my whole pregnancy. At that point, I was like, “I’ve got to find a doula. I’ve got to take a birth class. I’ve got to do all of these things.” I had been holding out for this opportunity to have a chance and now I had it. It was the most incredible, freeing feeling. When I was driving home, I was just like, “I can’t believe it!” I was yelling in the car. I called my sister right away, “I have a head down baby!” She was like, “Okay.” It’s just not a big deal to people. It was just so thrilling to feel like I could get the chance. So anyway, I took this birth class that B does from Core and Floor Restore and she talks a lot about physiological birth in it and how the movements that we make and the sensations that we feel all help in this balancing act of getting our babies out. I was just like, “I’ve got to try. I’ve got to try. I need the chance. I’m getting the chance now and now I’ve got to try.” So I did all of the dates and I did all of the classes. At 39 weeks, I stopped work and I just lived it up. I was just laying around and I was just having a good old time with my baby girl. That was one day that I had and the next day, I put her down for a nap. 35:11 Traveling the mountain pass in a snowstormJenny: I was at 39 and 4. I told my baby as I put my toddler down for a nap, I was like, “You know, I’m ready. I’m ready to see you. I’ve got all my meals in the freezer. I’ve done the work. I feel good.” Meagan: You were prepared. Jenny: I’m a postpartum doula. I had my ducks in a row and then my girl was just starting to sleep and I felt my first contraction. I was like, “No. This cannot be happening. Are you kidding me?” I just laid there super still and I was like, “That was another one. It’s happening.”I went to the bathroom and I had a little bit of my mucus plug and bloody show. I texted my doula right away like, “Oh my goodness.” She was like, “Oh, you know. Things are happening. Yeah.” I was like, “I know. I know. I need to go to sleep. I’m just going to go to sleep.” I looked at the pass because that was the biggest factor in what was happening. I looked. It was 2:00 in the afternoon. I looked at the pass and it said it was going to have 7-10 inches that night of snow. I was like, “Okay. Nothing is happening now, but maybe we should.” Our plan was to get over on the other side of the mountains in case it closed on us, we would be on that side. I was going to have this chance for VBAC no matter what. I texted my husband right away and I’m like, “Hey, I had a contraction. I’ve had several. I’ve got some stuff going on. Can you head home from work? He never responded.” 6:00 rolls around. My daughter got up. My contractions slowed just like they do when your toddler is awake. I was like, “Did you get my text?” He was like, “No, what?” I was like, “It’s going to happen today. I’ve been having contractions. I feel it.” He was like, “Okay. I was like, “But the pass is starting to snow already up there and I think we’ve got to go. He was like, “Well, let’s just see.” I was like, “Okay. All right. Let’s do this. When she goes down for sleep, I bet it’s going to pick up.”Sure enough, it did. 7:30 rolls around. I put her down and it started again just small contractions, but I felt it. He went to sleep and by midnight, I was having timeable 5-minute contractions trying to lay there. I was like, “I can’t do this anymore. I’ve got to get up.” So I got up and I got in the shower. He came in and he was like, “Are you okay?” I was like, “I am having some pretty intense contractions. I cannot lay here.” He was like, “Okay.” We were just reading each other’s minds at that point. We’ve been married so long and we were both thinking about the pass. What are we going to do? Who was going to come over at this point and see our kid? I was spiraling and I was like, “I’m going to get in the hot tub. I’m just going to get in the hot tub and slow these down. I know this is probably just prodromal so I’m going to get in the hot tub.”I get in the hot tub and I’m sitting there and it was the most beautiful night. The stars are out. The moon is out. The sun was not out. It was the middle of the night. It was 2:00 in the morning and I was sitting there. It was this surreal, beautiful moment. Having these contractions and the warm water, it was incredible. At that moment, I was so grateful to have the opportunity at this point. I had never gotten this far. It was so cool just to sit there. That was definitely one of the most beautiful moments of my labor. Jenny: Unfortunately, my contractions sped up in the hot tub instead of slowing down. Meagan: So they were real. Jenny: Which is good, they were real. I was thinking, “Oh gosh, what do we do?” They were 2-3 minutes apart by this point lasting over a minute. We called our midwife on the other side of the mountains and we were like, “Hey, this is happening I think.” She was like, “Do you think you can make it?” I was like, “I don’t know, but we’ve got to try.” She was like, “But you pull over right away.” We knew where the hospitals were along the way. She was like, “If you feel like you are going to start pushing, you pull over right away and you call an ambulance.” I was like, “Okay.” We called somebody and woke them up in the middle of the night to come over and stay with our toddler and we started the trek over the mountains and it was insane. It was so insane, the snow. We were all over the place. There were semis in one lane and my husband was passing them on the other side. Just like I thought it would, my labor slowed down. It was a good thing because I was obviously in fear at that moment. I sat in the back. I sat backward. I put my TENS machine on and I was going to be in the zone. 39:43 Checking into the hospitalJenny: When we got there, they checked me and unfortunately, I was only 1 centimeter but I was 70% effaced. She was like, “It’s real.” Meagan: Hey, that’s good. Jenny: But it’s prodromal. I was like, “Awesome. We just spent the whole night getting over here.” It was so crazy, but it felt really good to be on that side of the mountains at that point. That hurdle was overcome for us. We went to our relative’s house that was close by. That was part of our plan and we just went to sleep. We just went there and tanked for the morning. I got a couple of hours of sleep. My contractions started to pick up again. She fed me some eggs and I threw them up right away. It was real. It was really happening. It was 2:00 in the afternoon. It started getting really intense. I got in the shower and the whole time, I was trying to stay on all fours. I was trying to lean forward. Part of B’s birth class is getting all of that pressure forward and moving your body. It was so incredible. I lost so much more of my mucus plug that I didn’t know was possible. I started having more and loose bowels and all of that. By the time my contractions were 4 minutes apart, we looked at traffic and it was insane rush-hour traffic, back-to-back. We called the midwife and she was like, “You’d better start making your way in here.” I was like, “Okay.” We got in the car and it took over a half-hour to get to what should have taken 15 minutes in bumper to bumper. It was so insane just sitting in the car. One of my friends who traveled to do her birth too, I asked her what she did in the car because I knew I was going to be in the car. She was like, “I concentrated on something. I found something to concentrate on and it helped me to cope.”I was like, “I’m going to time these and I’m going to use my TENS machine at the same time. I’m going to keep my mind distracted.” I also kept my birth affirmation cards in front of me and they were so helpful. I’m not one of those people who needs affirmations, but for some reason, telling my mind in that moment, “You’re okay. You’re safe. It’s okay to do these things.” I had one that was a vortex. I don’t know if that was on this podcast. I think it was where a girl was looking at this vortex and pictured herself opening. Anyway. It was so helpful. I felt like I was dilating. I really felt true movement at those moments. Of course, I was doing really slow, diaphragmatic breaths and trying to breathe through each one and stuff. Jenny: By the time we got to the hospital, my contractions were 2 minutes apart. They checked me and I was 5 centimeters and 100% effaced. Meagan: Yay!Jenny: I know. It was so wild. But my midwife wasn’t on shift yet. They only had OBs. Anyway, they stuck me in triage and just left me on the monitor. It was so cool though. They worked with me. I was like, “I’m not sitting. I can’t lay down. I have to keep moving and I have to keep swaying.” She was like, “Good. Let’s put this on you and let’s keep you in that position then.” She was like, “I think I can get a reading.” While they did have to do continuous fetal monitoring, it was okay. It really worked out. I was really worried about that. A lot of people talk about that and think it was one of the biggest hurdles, but it was really doable if you’ve got somebody who’s going to work with you through it. My doula came and it started to become a blur. My husband started to read me my birth affirmations which was really kind of sweet because he is definitely not that way at all. One of them that came from the VBAC podcast was, “My vag is a waterslide.” I loved that one. We had such a good laugh because he was reading it to me. It was a really funny moment. Things were moving, man but we were stuck in that room for over 2 hours. It felt like 10 minutes to me because I was just in the zone. My doula tried to do a hip squeeze on me and I hated it but I couldn’t even tell her because I was so in the zone. I could not verbalize at that moment. My nurse was moving super slowly. I think they were just stalling to get the midwives on staff.At 8:00, they finally moved me to my labor and delivery room. As I was walking by, the nurses were like, “Go, Jenny! You can do it!” It was so cool to hear them cheering me on and stuff. It felt like the victory line running towards the goal. It was really cool. I got in my room and it took her over 10 minutes to find her heartbeat. She was just sitting there trying to find it. I was almost like, “Maybe I should be worried,” but I was too in the zone. I was on all fours the whole time trying to move and just work with my body through it all. When she finally did it, she got the wireless monitors on me. I had been saying for 2 hours straight, “I just want the tub. Please give me the tub.” As soon as we got into that room, my doula went in. She drew the bath. She put the candles in there and all of the things. I was sitting on the bed just moving and I was like, “I’ve got to poop. I’ve got to poop. It’s going to happen. I’ve got to go to the bathroom.” They were like, “Okay.” I walked away and I ran into the bathroom real quick. I was sitting on the toilet and I was thinking, “Man, this is insane. I feel like my body is just going to break apart. This is insane, the pressure.” It wasn’t super painful, but it was but it wasn’t. It’s like pain with a purpose. Anyway, I was sitting on the toilet and I was like, “Man, nothing is coming out. This is crazy.” All of a sudden, another huge contraction hit and I jumped onto the floor and sat on all fours looking at the tub. It’s right there. All the water was finally filled. I could get in after this contraction was over and my body started bearing down. 45:42 Fetal ejection reflexJenny: It’s like I was throwing up from the back of my body. It was like down and out. It was like a feeling that I’d never felt before. It was so incredible. It was happening, the fetal ejection reflex and there was this new nurse next to me that was like, “You’re pushing, huh.” I was like, “I’m not trying to but I think it’s happening. I’m getting in the tub now.” She was like, “You’re going to come back and get on the bed actually.” I was like, “No!” For 2 hours I had been begging for the tub and now I have to push. I was like, “I’m scared. I can’t do it. I can’t do this. It’s all too much at this moment. I’m not ready.” Meagan: Yes. Jenny: I got on the bed. This new midwife just walks in. I had never seen her before. She locked eyes with me and she was like, “Let’s do this.” I was like, “Okay, I guess we have to.” She checked me one last time. She was like, “You’re 9.5 with a cervical lip, but I think it’s time for you to start pushing.” I was like, “Okay. I can’t help it. I’m pushing anyway.”I had this big contraction. I was still on all fours. They were trying to get the saline hep lock on me because they hadn’t even done any of the things. I was GBS positive and they couldn’t even get that in me fast enough. I had a contraction. I looked down and she was in my other arm because that vein had blown in that period of time. I was just like, “What is happening? It is so fast and crazy.” Labor land is such a blur, but at the same time, each time I came out of the contraction, people were like, “What do you want for this? What do you want for that? What’s your preference?” I was like, “I want a physiological birth. That’s all I know. I just want to do this. Let me do this.” Anyway, they had commented later that they don’t normally see that in labor where the mom can verbalize what she wants but I had never met this midwife before and she was like, “I honestly don’t know what your preferences are so I’m asking you now.” It was really nice that she was trying, but she was like, “With this next contraction, push.” I was like, “Okay.” I got on my hands and knees and I faced her which felt wrong and weird. She was like, “Okay, push.” I didn’t because I was like, “I don’t like this. This doesn’t feel right to me.” But I couldn’t say that. So then she was like, “Okay, with this next contraction, I want you to flip over on your back and I want you to push.” In my head, I’m like, “There is no way I’m going to do that. No,” but I couldn’t say that.In the moment, I’m such a compliant person. I was like, “Okay, whatever. I’m just going to give her what she wants.” I flipped over on my back. She was like, “I want your knees up to your ears and I want you to bear down super hard.” I was like, “No, I know that’s not right. None of that feels right.” I did and I didn’t push at all. I was letting my body do its thing. I was just lying there for a second. She put her hand inside of me and she was like, “I want you to push here.” I was like, “I don’t like that either.” As soon as I came out of that contraction, each one I was visualizing the wave coming up and cresting and coming back down. It was a really good visualization for me because I love the ocean. I came out of that and I was like, “I didn’t like that. I want to do something different. Can you help me with that?” That’s all I said to her. Meagan: I love that you said that. Jenny: It felt so good because I’m not normally somebody who stands up for myself, but I was like, “I want to do something different.” She was like, “Okay. Flip over on your side and hold your leg up and pop your knee out.” Do this crazy maneuver. Immediately, it felt right. It felt like the key in the hole locked into place. With that contraction, I pushed and she started crowning. 49:20 Pushing out baby and postpartum blood lossJenny: All I said with that contraction was, “There’s so much pressure!” I was yelling it and yelling it. The contraction was over and instead of letting go, I held her there and clenched down so she would stay there and not go back up or anything because I could tell she moved right down and was right there. They were like, “Feel your baby’s head!” I was like, “Okay, yeah. Whatever.” I tried to feel it. Meagan: Yeah, okay. Whatever. Jenny: Yeah, yeah. This is happening right now. I touched it and I was like, “Cool, okay. Yeah. There is a lot of pressure. I can’t do this right now. I’m so scared.” At that moment, I was like, “The only way out is through. I have to push. I’ve got to do this.” With the next contraction, I just barely pushed and she just twisted and flew right out. It was insane, that feeling of a baby coming out of you. I just can’t even describe it and I’m so grateful that I can describe it because it’s incredible how we are made. I’m in awe. There are so many things that have to go right to get to that point. I am so grateful it did and I got to experience it. She came out right away and immediately, I was in business mode. I was like, “Is she breathing? Is she okay?” I was rubbing her down. People were kind of just hands off letting me do my thing. She started to crawl right up to my nipple. She did the breast crawl. It was all of the things that I wanted and never got with my first and it was so incredible to see this miracle happening right in front of me. I felt like I didn’t do any of it. It was like it just happened almost. It was so incredible and unfortunately, I had a tear. She was looking at it and she had to go up and scrape some. I was trying to enjoy my baby at that point, but I was like, “Hey, can you just give me a Tylenol or something?” I hadn’t had anything. She started to numb me and I felt all of that. I felt her stitching. I was like, “Can you give me some more of that because this really hurts?” I had an inside tear. After that, my nurse was kind of concerned that I was bleeding a lot, but my midwife wasn’t. It was kind of weird. It almost seemed like nobody new my nurse or liked her. I think she was new. She was really slow so they were just like, “Yeah, it’s fine. No big deal.” They were tracking my blood loss, but I got up to use the bathroom and at one point, she went out to fill my peri bottle and the water just wasn’t getting warm. I was sitting for a long time on the toilet. I felt like a waterfall was just coming out of me. I was thinking, “I’m pretty sure this is normal. I don’t know.” Anyway, she came back a minute later and she helped me go to the bathroom. I got back to bed and I was like, “Oh man, I don’t know if I feel good.” They were like, “Okay, we’re going to move you to your postpartum room.” I got in my wheelchair and I held my baby and I was like, “Hey guys, I think I’m gonna–” and then I passed out. When I woke up, I was having this cool dream and when I woke up, the whole room was filled with people who were all freaking out. My husband was looking at me. He told me later he was like, “I thought you were dying.” It was super traumatizing for him. I was holding the baby and they were trying to help me so they were all diving. He was diving for me with the nurse. Anyway, he was pretty upset having seen that and stuff. It turns out I had lost about half of my blood and they just hadn’t been able to track it properly because they couldn’t tell why I had passed out at first. They were like, “We don’t understand. You didn’t lose that much blood.” But they took the test. It came back. Meagan: Okay, this is interesting. This happened to me. Jenny: I know. I remember your birth story about it. Meagan: We still couldn’t find it. Jenny: Yeah, isn’t that crazy? Meagan: I still to this day don’t know where it went. Jenny: I’m convinced mine was the waterfall in the toilet. I know that sounds so graphic. I’m sorry. Meagan: No, but that is a lot. Jenny: Yeah, it just felt like so much was coming out of me and nobody was there to document it. I was by myself. Meagan: Yeah, they were going to find the bottle. Jenny: Yeah, yeah. Meagan: Mhmm, interesting.Jenny: I know. It was crazy. Luckily, I was at a place that would help me with my preferences on blood loss and stuff so they worked with me really well. I’m so happy that there is alternative medicine out there so all of the rest of the people who can’t take blood for whatever reason, it’s available to them too. I’m grateful for that position and stuff. They work hard to help us in ways that maybe we don’t think about. Meagan: I know. In some ways, I had regret that I didn’t take the blood, but then I couldn’t deny that my gut was telling me not to. It was just the weirdest. It was a disconnect. I still today don’t know why. I’ve let it go and it’s fine other than I’d be interested to know why, but we are just so grateful for those abilities to have those options. Jenny: Yeah. I’m really grateful I was where I was too because they were there within seconds to help me. It all turned out okay. I was fine. I was pretty weak and kind of gray for a little while, but I got a couple of iron infusions and that really helped. I was feeling like myself not as soon as I wanted. I was really hoping I felt a little bit better because you have the toddler at home and you want to do all of the things. I felt maybe disappointed in that regard of being so weak. The recovery was harder than I thought just with my tear and stuff too. I was surprised how hard it really was, so I’m really impressed by all those people who say that vaginal birth isn’t that big of a deal. I’ve done both. My husband was like, “I really preferred the C-section honestly. The pass was open​​. We got to walk right in.” I was like, “Yeah, but it’s just not the same.” Those moments.Meagan: There is something about it. There is definitely something about it. It’s not to say that C-section can’t be beautiful or amazing or healing even. My second C-section was completely healing, but yeah. There’s something about it. There are no words but then there are so many words to describe it. Jenny: Mhmm, mhmm totally. I could talk about it all day. It’s so exciting. Meagan: Well, oh my gosh. I’m so happy for you. I’m so glad you made it over the pass. I’m so glad that you were able to be there and even just find comfort even though you weren’t super far progressed at first and that you were able to have this beautiful experience. I am sorry that you had these little hangups. It just goes to show that not every VBAC is perfect in every way just like every C-section isn’t perfect in every way, but C-sections can be beautiful and so can VBAC. You just have to ultimately decide what is best for you. For you, you had that feeling and you were called to know what else your body could do. You knew it went through a really tough, tough birth with your first. Then you went through another tough birth, but an amazing one. One where, yeah. You were able to have that experience that you wanted. I’m so happy for you. Jenny: Thank you. Thank you for having us. Meagan: Oh my gosh. Absolutely. I’m so happy that you are here. 57:10 Jenny’s advice for breech mamasMeagan: I did want to talk a little bit about breech. You said, “My baby turned. Maybe that’s normal. Maybe it’s not.” Yes, it can be normal and what breaks my heart is that so many people are left without an option. They are left without feeling like they could even try because we don’t have those breech providers. They are few and far between. We love Dr. Berlin and the Informed Pregnancy Podcast and Informed Pregnancy Plus and Heads Up documentary and all of the things that they are providing because I feel like they are advocating. And Dr. Stu, they are advocating for breech birth that it is truly just a variation of normal. Anyway, if you have a breech birth, what would you give as advice for someone who’s trying to figure out what to do? Do you have any that you would give?Jenny: Yeah, if they’ve tried all of the options because even the providers, I’ve talked to a couple of providers who do support breech birth and even they encourage you to try and get your baby to turn so if you haven’t done all of the things, it’s a good thing to try and do those things first. I mean, acupuncture, I couldn’t believe how amazing that was. She wasn’t moving a ton and then she flipped completely. So yeah, there’s kind of something to that. Even though she didn’t flip again until way later, yeah. I could still feel her moving a lot more during acupuncture than I did with any of the other treatments that I was going to. I was trying to see a Webster chiropractor and all of that too. There’s a lot of things you can do to try and get your baby to turn, but I think trusting too is a huge one. Yeah, because I mean, I learned that a lot with my second birth too just to trust your body and if she’s not turning or they are not turning, maybe there is a reason and to just go with that. Accept it. I am glad I tried to accept it sooner because maybe I relaxed more and she turned. Meagan: Hey, yes. Jenny: I wonder if that was part of it. I let it go. I really did. I just was like, “You know what? I’m going to listen to her. She’s saying she wants to be breech. I’m just going to go with it and I’m not going to care anymore.” Then she turned. I don’t know. Meagan: That’s how my son was. It’s kind of fun that we actually have some similarities here in our birth stories. But yeah, my son too. He kept flipping breech for whatever reason and we would flip him. My midwife would manually flip him and do an ECV, then I would feel those hiccups again up in my ribs. I’m like, “Dang it, he is breech again.” Jenny: That rascal. Meagan: Yes. I found myself very angry and I’m like, “If I have to have a third C-section because this baby is breech,” which I’ve never had a breech baby before, “I’m going to be ticked.” Then finally, my midwife said, “We have to. We have to trust him.” He flipped head down and stayed head down and it was all good. 1:00:22 Statistics on vaginal birth versus planned Cesarean for breechMeagan: I found a PubMed research paper on maternal and fetal risk of planned vaginal breech delivery versus planned C-section for term breech births. It shows that it was published in 2022 so just a couple of years ago. It goes through. It says, “The meta-analysis included 94,285 births with breech presentation.” Now, that’s actually pretty decent. 94,000 births. It’s also crazy to me to think that there were 95,285 people who had breech babies and it also just says that isn’t that just a variation of normal? These babies are head up. I mean, 94,000 babies. But anyway, it shows the relative risk of perinatal mortality was 5.48 which had a 95% confidence interval. Sorry, 5.48 times higher in the vaginal delivery group compared to 4.12% for birth trauma and then the APGAR results show that the relative risk of 0.30% percent higher than a planned Cesarean group, so in the end which is kind of confusing I’m sure. I’m going to provide this in the show notes. It says, “In the end, the increment of risk of perinatal mortality, birth trauma, and APGAR lower than 7 was identified in a planned vaginal delivery.” We know that breech birth can become complicated. That’s one of the reasons why a lot of these providers out there are just not willing to try. However, it says, “The risk of severe maternal morbidity because of complications of a planned C-section was slightly higher.”It’s something to consider here where we are like, “Okay, well there is some birth trauma.” We know that sometimes we can have tissue tearing. We can have pelvic floor issues and trauma. We know that babies can come out a little stunned because of what happens when their body is delivered and their head is inside. And APGARS lower than 7 which is less ideal. However, even with a Cesarean, those rates were even slightly higher. In the end, we need to figure it out but what we need is more providers. We need more providers being trained and offered. They need to go to Dr. Stu’s course. They need to listen to Heads Up. They need to get informed and offer people these options because just like Jenny and I, and even more Jenny than I, there is a lot of stress that goes into having a breech baby, and think about all of the things that you just said. If you had run out of options, meaning that you had done everything in your own power to try and help this baby flip and are now just relying on faith, which let me tell you, faith is amazing and we need to rely on faith all the time, but even then, if we are still at that roadblock, that is so hard. It’s so stressful. I truly believe that we could lower Cesarean rates by a lot. I mean, even looking at these 94,000 people, we can lower that Cesarean by a lot if we just took one little step forward and offered breech birth again and trained providers. Jenny: I totally agree with you. I know. Just listening to all of the things I had to go through to get my VBAC, it could have all been prevented if I just had her, my first, vaginally. All of that stress and all of that, I wouldn’t have had to do any of that. It could have just been normal. Instead, it’s just this huge, stressful event and I can’t say that enough because our lives are already stressful. Why should we stress more? Meagan: Yeah. I mean, it’s 2024 which means that 24 years ago, breech birth started fading. We are really behind and it’s something that breaks my heart to see if it’s going to disappear. We can’t let it disappear. We can’t. Jenny: I agree. Meagan: Also, side note, if you listen to this episode and you know a provider who is willing to do breech, please message us at [email protected] so we can get them on our list so we can help Women of Strength all over the world find a provider that may be willing to help with them. ClosingWould 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/donationsAdvertising Inquiries: https://redcircle.com/brands