Contact Us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right. 

         

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

Blog

Filtering by Tag: birth center birth

Tips for a Successful VBAC

Chelsea Gonzales

IMG_0408.JPG

There once was a time when mothers were told they would never have a successful vaginal birth after having a cesarean. Fortunately, times have changed, and more and more mothers are making the choice to give it a try. After all, if it can be carried out safely, a vaginal birth is almost always the best option in terms of a mother’s comfort, recovery times, mother/child bonding, and so much more.

If you are considering having a VBAC, you may be wondering what you can do to increase the chances of a successful birth experience. Here are my top tips.

Build a Strong Birth Team

First and foremost, you will need to have a good, strong birth team. This is one of the most important steps you can take, as an unsupportive birth team will be discouraging at best.

Be sure to pick a primary care provider who is willing to attend a VBAC birth. If you are birthing away from home, the hospital or birth center your care provider is associated with must also be okay with your choice. Ensure you trust your midwife or OB completely. If you feel at all uncomfortable or concerned with your care provider, make a switch. Even if your feelings are apparently unwarranted, feeling comfortable during labor and delivery is imperative to a successful VBAC.

In addition to a good doctor or midwife, you will also want to hire a doula. A doula will help ensure you are as comfortable as possible throughout labor, and may even make the process move more quickly. Additionally, a doula can help you work through any fears that may arise.

Go Natural

Inductions, epidurals, and other interventions increase the likelihood of a c-section. Considering this is the very thing you are wanting to avoid, you will also want to avoid intervention as much as possible, letting nature take its course throughout the birthing process.

While this make take more time and patience, and while it might require seeking out natural pain management options, it's so worth the end result.

Educate Yourself

Confidence plays an enormous role in the success of any birth. The more confident you are, the more likely you are to be successful.

This is probably due in part to the fact that the more confident women tend to be the more educated women. Therefore, these individuals have a good understanding of their bodies, leading to less fear. They are also better able to make educated decisions throughout labor, meaning they're less likely to be pushed into doing things they don't want to do.

For this reason, it is highly recommended that all pregnant women—and especially those wishing to experience a VBAC—do everything they can to boost their confidence and educate themselves. The best ways to go about this include attending quality childbirth classes and reading as much as possible. Finding books about VBAC specifically can be especially helpful.

Banish Fears

Another step toward confidence that every potential VBAC mother must take is banishing fears. Traumatizing birth experiences stick with us and tend to fester, growing into paralyzing fears. These fears are strong—so strong in fact that they can stall labor, something that can lead to interventions.

Fortunately, you have the power to banish these fears. Find a therapist to help you work through your unwanted thoughts, hire a doula to help in case these fears surface during labor, and repeat uplifting and inspirational mantras to yourself throughout your pregnancy and your labor.

Many women also find it helpful to hang posters or flags with inspirational messages throughout their home and birth space.

Expect a VBAC, Prepare for a Cesarean

In some cases, it just isn't possible for a mother to have a VBAC safely. Because of this, it is always best to go in expecting the best but prepared for the worst.

What does this mean for you? Here is what I suggest:

  •  Know where to go — If you're delivering at home or in a birth center, know in advance where you'll be transferred should the need arise.Prepare for postpartum — Obviously, you'll want meals planned and help in place no matter how your birth goes. However, having extra assistance lined up in case of a c-section is a smart move.
  • Speak with your care provider — Ask your doctor any questions you have about what will happen should you need a cesarean. Have a midwife? Find out what her typical procedure is in these cases.
  • Create a birth plan — You've probably already thought about your birth plan should you have a vaginal delivery, but have you considered what you'd like in the case of surgery? Think about it, write it down, and make sure your birth team knows your plan.

Following these tips is not a guarantee of anything. They will, however, help you achieve your dream. Why not get started today?

 

The differences between a Birth Doula and a Midwife Assistant

Megan Jennings

Every expectant mother must assemble a birth team. Building a strong birth team with professionals who respect your birthing wishes is a very important part of ensuring you have a satisfactory birth experience. Unfortunately, many mamas-to-be don’t fully understand the role of each member on a birth team, and this makes choosing the right team members difficult, to say the least. 

One of the biggest sources of confusion is the difference between a doula and a midwife’s assistant. Lacking the definition of each can lead to a confusing situation for new mothers as they try to navigate the world of care providers and birth plans. 

In this article we are going to explore the role of each respective care provider in order to give you a strong foundation of knowledge when choosing your team. 

Doula

In short, a doula attends a birth in order to support the laboring mama. She is excellent at anticipating the personal needs of a birthing woman, and does her best to tend to those needs. This might involve making sure the new mother is eating or drinking throughout labor, or offering her support in whatever position makes her comfortable. It could also entail using oils or massages in order to help her client relax. 

While a doula will have a large amount of knowledge about the female anatomy and the birthing process, she will never administer medical care of any kind. Instead, she remains by the laboring mother’s side as much as possible and makes her as content as possible. 

Another part of a doula’s job includes helping the new mother and father to advocate for themselves throughout the labor and delivery of their child. This is especially important if the labor is to take place in a hospital setting or if complications should arise. 

Most doulas are on call 24/7, and will arrive to offer labor support as soon as a woman feels she needs it. A doula generally brings a collection of supplies with her, which may include a birth ball, a rebozo (a scarf used for a variety of purposes during labor), essential oils, massage oil, and a variety of other tools for keeping mama comfortable and happy. 

Midwife’s Assistant

On the other hand, a midwife’s assistant attends a birth in order to help the midwife do her job. While she may offer the new mother some support and words of encouragement, this is not her number one priority. Instead, she is present to help the midwife with anything and everything she might need an extra set of hands for. 

Unlike a doula, a midwife’s assistant does administer some basic medical care. Therefore, she must have a very good understanding of the female anatomy and the labor and delivery process. 

A midwife’s assistant might perform such tasks as watching the mother’s vital signs and monitoring fetal heart tones. She is also given the tasks of assisting with any medical management (if needed), assisting with charting, providing immediate postpartum care to mom and baby, and performing a variety of other jobs that arise throughout the labor and delivery process. 

Because her job is so varied, a midwife’s assistant must be very in-tune with her surroundings and anticipate the midwife’s needs as often as possible. This will help the midwife stay on task throughout the delivery, as everything she needs will be prepared for her. 

The majority of midwife’s assistants are on call 24/7, but many will not arrive until later in the laboring process. The supplies found in a midwife’s assistant’s bag might include a fetal Doppler, a stethoscope, an infant scale, and record-taking supplies. 

Overlap

While doulas and midwife’s assistants do offer two different kinds of services, there is occasionally some overlap in their job descriptions. For instance, many doulas offer breastfeeding support after baby is born. Likewise, many midwife’s assistants offer support in this area as well.

Other areas of overlap could include:

Offering the laboring mother support.

Helping with post-birth cleanup.

Assisting with skin-to-skin.

Conclusion

Although there is a bit of overlap between the roles of these two types of caregivers, they do both offer their own unique services.

Therefore, if your birth will be attended by a midwife, it is generally a good idea to consider having both a doula and a midwife’s assistant attend your birth as well. However, if you are planning a hospital birth with an OB, a midwife’s assistant is not necessary, but a doula is a definite must.

10 questions you should ask when writing your birth plan.

Megan Jennings

 

Your birth plan is a great way to communicate your wishes to your birth team, but it can be hard to decide what your wishes are. Here’s a check list of a few questions you need to ask yourself while making your birth plan and a few sources for finding answers

___ Will you have a labor coach? Will your main support be your husband? Will you have a doula?

___ Who do you want or don't you want in the delivery room? 

___ Will you have a birth photographer? Does the hospital allow you to take photos?

___ Do you want anything special in the room, like a labor playlist on your iPod, oil diffuser, led candles, your own pillow and blanket?

___ Would you like to get out of bed during labor?

___ Do you want a drug-free birth? Why? Make sure you and your care provider are on the same page.

___ At what point or under what circumstances would your Doctor perform a C-section? Are you at a higher risk of needing a C-section, and is there anything you can do to avoid having one?

___ How often and in what situations does your Doctor do episiotomies? If you feel strongly about avoiding one, ask how you can prevent tearing when pushing.

___ Do you want Dad to cut the umbilical cord? Will you bank the cord blood or allow the cord to finish pulsing before cutting it? Would you prefer a cord burning ceremony if you’re birthing at home?

___ If it's a boy, will you have him circumcised? Why?

Here is a couple of great sources to help you find answers to these questions and more: 

Evidence Based Birth, their mission is in their name. They want you to have research you can rely on to make important decisions regarding your birth and child.

American Pregnancy Association has a great article on epidurals and the pros and cons of getting one, along with a plethora of other topics.

Sometimes this process can be a bit overwhelming and you may feel like you need a bit of guidance. This is why I offer prenatal birth plan consulting. For more information click here

5 Reasons why you need to write a birth plan!

Megan Jennings

A birth plan is a good way to find out what your wishes are for your birth. The most important thing about making a list of your preferences is it forces you to do some research about what you might want and possible outcomes based on those choices. When you base your preferences on solid evidence, your preferences will be more likely to be respected by your care provider. Here’s 5 reasons why a birth plan is a good idea.

1. It is a clear and concise way to communicate your wishes to your birth staff. Your nurse will appreciate a easy to read one page document listing out what you expect.

2. Making a birth plan requires self education and research. Knowledge is power. You have a lot of decisions to make as a parent starting as soon as you find out you're pregnant, it’s important to make those decisions based on evidence based information, when its available.

3. While researching for your birth plan, you can get a good idea of what to expect in labor.

4. Your birthing staff will know what you want in the event that things don’t go according to plan. If you end up with an unplanned c-section, what does that look like for you? Would you like skin to skin in the OR? If you are under general anesthesia who do you want to care for your baby until you wake up? 

5. Writing your birth plan is a good way to get your partner involved and open communication between you to make joint decisions about your birth. This is your parters birth too and he needs to feel safe and heard and a lot of times dads don't know what to expect or how many decisions need to be made. It’s also important for you to show him why something may be so important to you so he can fully support you when the time comes. Writing your birth plan together is a great way to get the conversation started.

 

Having a birth plan doesn't guarantee that you will have “the perfect birth”, but having a birth plan can help you when you need to make important decisions. You have already done some self education about possible outcomes, opened communication between you and your partner and your care providers.