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Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

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In Their Own Words: Annika's Story

Posted on April 15, 2016 at 4:10 AM Comments comments (2)
April is Cesarean Awareness Month.  As such, the blog topics this month will focus around cesarean birth journeys, and options that cesarean birth warriors have for subsequent pregnancies.  

If you would like to submit your story for our In Their Own Words series, please send your submission to krystyna{at}sweetpeabirths{dot}com.

Here is Annika's story of her primary cesarean, and her VBAC journey with her second child:

When you are pregnant with your first child you have all these wonderful naive concepts about birth…well, at least I did. Not to say I had a traumatic birth with my first child, but I would say it definitely was a sobering lesson for my husband and I.
 
Our plan was to have Landan in a birthing center with minimal intervention and in a birthing tub. The entire idea of a water birth and a welcoming atmosphere to me was literally heaven and I would dream about it almost daily. At our 39 week check up our midwife seemed a bit puzzled when she was examining my belly and feeling around for Landan's position and promptly concluded after a ultrasound that he was in fact breech and very comfortably nesting in my right rib cage. So with a referral in hand and a last minute appointment with Dr. Medchill we made our way to his office for another ultrasound to determine if I was a good candidate for an external cephalic eversion (aka, external flipping or rotating of the baby).
 
Much to our delight, Dr Medchill concluded that there was sufficient fluid surrounding Landan and the umbilical cord was not wrapped around his neck. So off we were to the OB Triage at St Joe's to attempt flipping Landan with our bags packed "just in case." While the idea of externally having my baby flipped was not appealing, I really didn't have a whole lot of time to really understand the gravity of what I was about to experience, nor do I think I would have cared to be honest.
 
I had my mind made up that this was going to work and I was going to get my beautiful peaceful water birth I had been dreaming about for 9 months. With my husband sitting at my head, Dr Medchill on my right side pushing Landan's head and upper body, and a head resident pushing Landan's legs and butt, they attempted 4 times to flip Landan with no avail. My son was perfectly comfortable where he was at, and no one was going to convince him to move otherwise. At this point, my husband and I had been dealing with this ordeal all day and both of us were so incredibly burned out. I was shaking thanks to the muscle relaxers they gave me so they could perform the procedure and I didn't even want to dare to think about how sore my belly was going to be once the pain medication wore off. So, seeing our exhaustion, Dr Medchill offered to perform a cesarean birth within the hour.
 
Looking back on it now, I am actually very grateful for his willingness to help us in the midst of our exhaustion. Let me be clear, he was not pushy by any means and if you have ever encountered Dr. Medchill he is the most kind, but honest, human being on this planet. In his professional opinion especially since I had showed no sign of labor, my cervix was completely shut, minimal effacement, and Landan was definitely not going anywhere from his comfy spot, the chances of my body kicking into natural labor and Landan flipping and descending through the birth canal was really minimal.
 
Since I had never had a vaginal birth to begin with, I also had what the medical community deems as an "untried pelvis," which essentially means no baby has ever passed through. Which can diminish your chances of having a successful natural breech birth even farther.
 
So, my husband and I decided to go for the compromise and I was prepped for surgery before the ink was dry on the consent papers. Looking back on it now, I'm actually incredibly grateful for how quickly they moved as my husband and I weren't really given the chance to think too much about what was going on. The cesarean birth, from what I remember, was rather uneventful. I remember being extraordinarily cold, and feeling very alienated being so exposed on the table, but the staff was really pleasant and made me feel comfortable.
 
Once Landan was born he was quickly cleaned, weighed, and swaddled, and brought over to me where we snuggled our heads together for a fleeting moment. My husband was allowed to take him from there to the OB Triage area to have skin-to-skin contact while I was being put back together. Granted, I would have loved to have that contact with Landan myself, but stepping back from that, it really was a special time for Danial and Landan. They definitely formed an unbreakable bond and for that I am absolutely thankful for. That was such a special gift that Danial was able to have with Landan and I wouldn't take that away from him ever.
Fast forward 5 months and we were a busy family with a new(Ish) baby still taking over our house. Since having Landan I hadn't really thought much about his delivery or the ordeal much as I was happy to have my son earthside safely. It was when I found out I was pregnant with our second child that month that my feelings and emotions about Landan's delivery and my upcoming delivery would soon start to bring to the surface all sorts of emotions.
 
Luckily for us, we decided to stay with Dr. Medchill and continue care through him as he was most familiar with us, and our previous experience with him was really outstanding. He didn't hesitate when I asked if I had the option of attempting a normal VBAC and said that I was a really good candidate and that he actually would encourage me to at least try.
 
Let me tell you, that was music to my ears! But at the same time, the question in my head was "what exactly am I going to expect?" I couldn't have the water birth that I had fantasized about during Landan's pregnancy, and I was definitely not going to get a very birth center like atmosphere in the hospital, so what exactly COULD I expect?
 
That's where getting involved with the ICAN chapter in Phoenix really helped me wrap my head around my options but also internally deal with some unresolved feelings from Landan's delivery that I didn't even know I had. Also, getting involved with ICAN really gave me confidence to ask questions that I didn't even know were subjects I could ask!
 
For example, I had no idea that I could ask to have intermittent monitoring which would allow me to get in and out of the shower along with walking freely without being attached to a machine all the time. So armed with information, my husband and I navigated the months leading up to Adaline's birth with optimism and trust in our care provider that we could have a fair trial of labor.
 
I'm not going to lie, while we had an amazing support group around us from our care provider, to our doula, to our family, there was some SERIOUS fear in me of the entire process. No matter how you look at it, the incision is always going to be there. It doesn't go away and that doubt of whether or not that area will be able to withstand labor and birth is constantly lingering no matter how many statistics you look at of the success of VBACs.
 
I can say with confidence that there were MANY times where I just wanted to schedule a cesarean birth and go with what I knew and could expect. That is so much less scary then embarking on the marathon of labor and delivery where you have no idea what to expect. But, there was a really large part of me that just really wanted to experience the beauty of labor and be able to say that I could do it on my own.
 
So, I stuck to my guns and kept drawing from my support group of my husband, my doula, and my care provider. Much to my delight, on October 1, 2014 my water broke (which is definitely not a glamorous experience like Hollywood claims it is!!) and labor started with gusto about an hour later. My husband, doula and I made our quick exit to the hospital as my contractions were coming on with force and relatively quickly.
 
After a marathon of 17 1/2 hours of hard, active labor, my daughter was born on October 2, 2014 and was the most beautiful VBAC baby I could ever ask for. She absolutely made me work for my VBAC and I truly couldn't have done it without my doula and my husband, who stayed up with me the entire night going between the shower, birthing ball, holding the puke bin between contractions, making sure I drank water, and listening to me when I was so tired that I could feel my body giving in after 15 hours and asking for an epidural simply so I could take a 30 min power nap.
 
I have clients that ask me all the time how I was able to get through that VBAC and it’s really plain and simple to me. There is no part of me that hesitates when I say that I absolutely drew from the strength of my husband and my doula the entire time. Having my support group really helped me get through the toughest parts of that labor and then also being at peace with getting an epidural and taking a nap. When it boils down to it, that's what my body needed and having my support group there allowed me to listen to my body.
 
There is nothing I regret from Adaline's birth and in a way it was so healing for me and resolved so much self doubt from Landan's birth that I didn't even know existed in me until I was faced with the option of having a normal VBAC.

Now we are weeks away from meeting #3 and my husband and I feel so comfortable and armed with such confidence that we do know our options and are going into this second vaginal birth. I know, and for the first time, feel absolutely confident in my body; that it knows what to do and I also know how to listen to it as well. We have moved to a different state so having to switch providers was nerve racking until my husband and I really sat down and realized that we were completely confident with the criteria that we wanted and were setting for ourselves and also that we would find a care provider who was just as amazing as Dr Medchill was.
 
Luckily for us, we did find an amazing care provider and he is definitely on the same page as we are with this delivery. My hope and prayer for every single mother going through her VBAC whether it be after one or multiple cesarean births is that you really find your voice and find your support. I know that's what helped me navigate this incredible journey that I've been on the past 3 1/2 years and I only can hope that every single mother finds that strength as well.

Photographer Name: Allie Hannah Photography

Henna: Pheobe Sinclair 

Disclaimer: 
The material included in this video is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The viewer should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
 
 Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson


 

Two Cesareans and A VBAC

Posted on May 1, 2015 at 12:33 AM Comments comments (0)
Here is our final post for Cesarean {Birth} Awareness Month. (I missed by a day when I was planning posts :/ Oops!)  

Today I am sharing two cesarean birth stories from SPB alumni families.  Both beautifully illustrate the gift of a cesarean when they are medically necessary.  

  • The Mangieri family welcomed their son via cesarean in March 2012, and went on to have a VBAC with their second child, a daughter, in December 2013.
  • The Schlueter family welcomed their son via cesarean in July 2013.

























    And to round off the stories, here is the Bland Family story.  They were classmates with the Schlueter family, and joined us as part of their journey as they prepared for a Trial of Labor After Cesarean (TOLAC).  They were able to have a VBAC - here is how it happened for them:

    My C-section and VBAC journey
    by Tanya Bland

    With my first pregnancy I planned an all natural birth. I went to midwives, took baby classes, the whole nine yards. 40 weeks came and went. 

    When I hit 41 weeks the ultrasound showed that my daughter was measuring very large. They said she was weighing about 9 lbs, 15 oz. I was told all the concerns with a large baby and being "overdue". 

    Unfortunately in hind sight I feel I didn't have enough knowledge or the confidence to ask more questions. I became scared by the "big baby" issues and decided to schedule an induction. 

    We decided to go with a round of prostaglandin gels. My husband and I checked in to the hospital around 2pm and had to lay down in the bed for 6hrs then I went home. Nothing happened the next day. 

    The following day I went back to the hospital for another round of gels. They admitted me and proceeded with more inductions. I went back and forth between prostaglandin gels and cervadil for 4 days. 

    When I finally got to 3cm they started pitocin. The contractions started to intensify for a few hours but then I fell asleep. I slept for about 3 hrs and when I woke up all my progress had come to a halt. 

    At that point my midwife told me about the risks if I were to continue of possible shoulder dystocia. Not knowing the stats or real risks of shoulder dystocia my husband and I became very scared. We decided to go with the option for a c-section. Even during the c-section they had to use a vacuum to get Taylor out. I feel that she truly wasn't ready to come despite how big she was. She was born at 10 lbs, 5 oz. 

    Cesarean to VBAC Journey
    Cesarean to VBAC Journey
    Getting induced with Taylor
    Cesarean to VBAC Journey
    Cesarean to VBAC Journey
    Trying to see Taylor after my cesarean section
    Cesarean to VBAC Journey
    Cesarean to VBAC Journey
    My doula and Taylor helping me with by breathing during contractions
    Cesarean to VBAC Journey
    Cesarean to VBAC Journey
    Scott holding Kaylee after catching her and cutting the cord
    Cesarean to VBAC Journey
    Cesarean to VBAC Journey
    Skin-to-skin after VBAC
    Although many people commented how lucky I must feel that I didn't have to birth that big of a baby, I felt very defeated after and it took a long time to recover...not only physically, but emotionally. I suffered big time postpartum depression and had to seek counseling for a little while. I worked through grieving the loss of the birthing experience I had wanted.  Though it felt silly at first since I had a perfect, healthy, beautiful little baby...it was very healing to grieve the loss of what I had wanted. 

    I attended some ICAN meetings and did more research and by the time I was pregnant again I was determined for a VBAC. With my second child I decided to attend Bradley™ classes to gain even more knowledge, along with hiring a doula. I believe that having Krystyna and Bruss, along with my doula in my corner to ask questions whenever I was unsure of things, not only made me feel more at ease but also helped with my successful VBAC. 

    I made a plan ahead of time and knew that I would be "overdue". At 41 weeks the doctors wanted me to have a repeat c-section. Thankfully, with the knowledge I had learned I knew that as long as I was healthy and my baby was healthy that I could continue to wait until baby was ready to come. 

    My midwives were very wonderful in supporting me with waiting and dealt with the doctors for me. The day before I hit 42 weeks I went in for my check up. My midwife said she supported me completely but needed to express the risks for continuing to wait. She offered to start an induction using the Foley Bulb

    This time I felt more prepared. I called Krystyna and my doula, Diane Acuna and was able to research the positives and negatives. I made the choice to continue to wait because I was healthy and so was baby. I felt at peace with whatever was going to happen, whether it be VBAC or repeat C-section because I felt like I had done all I could and research all I could. 

    Thankfully Kaylee decided to make her grand entrance at exactly 42 weeks and I got to have my completely natural VBAC. If anyone is open to advice, this is what I would tell them: take the Bradley™ classes and hire a doula! What a difference having all that knowledge and extra support in my corner did for my peace of mind and outlook.


    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Disclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

    VBAC Preparation: Ask the Midwife

    Posted on April 29, 2015 at 7:16 PM Comments comments (0)
    Our posts for Cesarean Awareness Month continue.  With their permission, I am sharing notes today that I took at an ICAN meeting presented by some Phoenix-area midwives in 2012.  

    The main presenters and most of what you see below are the paraphrased words of Diane Ortega, CNM and Belinda Hodder, CNM.  They are midwives at Valley Women for Women, whose overall cesarean rate in 2014 was 7% in the midwife practice.*

    Also in attendance and adding commentary to some of the answers was another CNM in the area.  While all three midwives believe in and support the natural process, all of these women have had a cesarean themselves.  It seems to me that it lends them an extra dose of vestment in their patient’s goals for a vaginal birth after cesarean.

    The format of this meeting was question and answer.  Below is a paraphrase of the midwives’ answers to the questions posed by the women in attendance at the ICAN meeting on October 24, 2012 in Tempe, AZ.

    There is not a lot of opinion offered here.  It was a presentation of information so that a woman considering a vaginal birth after cesarean (VBAC) could consider the information as she prepared for her next birth journey.   

    This information is offered a starting point for the previous cesarean birth woman to do her own research so that she could make the decision that is right for her unique situation.

    VBAC Planning and Preparation
    Q: What are the best methods to prepare for a VBAC?
    A:
      There are several things you can do to prepare:
    • Use midwives so you can have the one-to-one model of care.
    • Stay at home until you are in established labor.
    • Be supported
    • Set yourself a mini-goal: what are my absolutes even if the VBAC doesn’t go as planned?
    • Take a good childbirth education course
    • Pain is associated with death, dying and injury.  You have to redirect that fear to the understanding that this pain, labor pain, is going to lead to life.  


    Q: What can I do to prepare my body for a VBAC?
    A: There are a few things you can do
    • Be physically fit – strengthen your body.
    • Eat well – eat foods that promote skin integrity and scar integrity (i.e., foods high in Vitamin C have collagen that is essential for building strong, stretchy tissues)
    • Be mobile – do everything you can to stay active to get baby in a good position for labor.

    Q: Will the type of sutures I have determine whether or not I can have a VBAC?
    A: Whether an obstetrician will do a single-layer or a double-layer of sutures depending on how they are trained, and sometimes it depends on what the uterus looks like.  As long as you have a low, transverse scar, or the status of your scar is “unknown” than you can have what is called a “trail of labor”.  If you have a vertical scar, the standard is to have a repeat cesarean.

    Uterine Rupture
    Q: Will my chance for a uterine rupture increase with the length of labor?
    A:
    There is no evidence in the research that supports that.  (At this point, ICAN leader Stephanie Stanley mentioned that a uterine rupture can happen at any time, with or without a previous cesarean –
    HERE is her research on that topic).

    Q: What are signs of uterine rupture? 
    A:  Pain that doesn’t go away after the contraction is over, and a decrease in the baby’s movement an/or heart rate.

    Q: How long does it take to heal from a uterine rupture?
    A:
      Like a cesarean; maybe there will be a little more bleeding.

    Going Past 40 Weeks
    Q: What is the concern about going postdate?
    A:
      ACOG guidelines are that babies should be born by 42 weeks gestation.  While the literature does not show an increase of risk for uterine rupture, it does indicate that a baby does not tolerate a labor as well after 42 weeks.  There are more issues with meconium, the umbilical cord and the placenta after the 42-week mark.  You could find a care provider that is willing to let you go past 41 weeks as long as you are having ultra-sounds and non-stress tests done.

    Q:  What is the policy for induction if a mother wants a trial of labor after multiple cesareans?
    A:
      That usually depends on the personal beliefs of your doctor(s).  The use of prostaglandins or Cytotec is not indicated.  In reality, there are no guidelines, only protocols to consider and to follow.

    Q: How do I know if I am really “past” my estimated due date?
    A: 
    The ultrasound at 9-10 weeks is considered to be the most accurate predictor of your estimated due date.  If you know the history of your menstrual cycle (menses), or if you used an ovulation kit, you might have another data point for establishing your conception date, and thereby having another way to estimate your due date.

    Q: What are strategies for inducing labor for a VBAC mom?
    A:
      Things that are done in office and then allow you to go home and labor there: a foley bulb (aka foley ball)  or a stripping of the membranes.  In the hospital and you stay at the hospital: foley ball, artificial rupture of membranes, and in some cases, you could use Pitocin.

    About Labor
    Q: What is the most common reason for a repeat cesarean after a trial of labor?
    A:
      A slow progress of labor with no real signposts that labor is going to progress.  Keep in mind that if you come to the hospital early in labor, you start chipping away at your chances for a VBAC.

    Q: Why do I have to be continually monitored? 
    A:  Our hands are tied by hospital policy – any VBAC patient has to have continuous electronic fetal monitoring.  We work in a community that is frightened of litigation.  
        On the upside, if everyone looking in from the outside can “see” that mom and baby are doing fine, this can buy you more time. 
    There are options in monitoring.  There are waterproof monitors that can be used in water during labor, and there are also some hospitals that use wireless monitors.  HERE is a great visual on all the different positions you can labor in even if you are continuously monitored.
        In reality, the amount of monitoring is specific to the hospital.  You have to decide how you feel about going Against Medical Advice (AMA) if you feel strongly about not having a continuous monitor.

    Q: What are your thoughts on an epidural?
    A:  You want to try to get into labor on your own at the beginning since epidurals tend to slow your labor down.  When we say “get into labor” we mean dilation to at least a 6 with a good, established pattern of contractions.  Pain is one of the indicators that can tell you something is going wrong right away.  If a mom has an epidural, bradycardia (slow heart rate) in the baby is the only indicator we have that things are not staying low risk.  The use of Pitocin to augment a slowed labor can also increase your chance of uterine rupture.

    Q:  How long can I go with ruptured membranes (broken bag of waters)?
    A:  If you are GBS negative, you could wait up to 24 hours before coming in.  If you are GBS positive, then we evaluate that on a case-by-case basis. 
    (Krystyna’s note: the presence of GBS at the time of labor raises the concern for mom/and or baby to develop an infection during labor since the bag of waters in no longer intact and able to provide a barrier against infection.)

    Q: What are ways to prevent tearing during the pushing phase?
    A:  Eat well – a good diet packed with fruits and vegetables.  There is no evidence that shows that perineal massage will prevent tearing.  You could avoid tearing by tuning into the natural “safety mechanism” known as the “Ring of Fire”.  By tuning into your body, you will slowly ease the baby out.  This is another reason to consider going the natural route: you don’t feel the ring of fire when you have an epidural.

    In closing, here are their "Words of Wisdom": 
    CARE PROVIDER
    • Take care in choosing your provider – do you trust them?  Do they follow evidence-based care?  Do their cesarean numbers bear that out?
    • By picking your care provider carefully, you can ensure that you hire a person that truly supports your desire to VBAC and will give you the time to labor as long as mom and baby are doing well. 
    • Choose a care provider with whom you can have an open dialogue.
    • If your instincts are telling you that you are with the wrong provider, then change.
    • Not only do you need to find out how your care provider feels about VBAC, you need to find out how their back-up doctor or other care providers in the practice feel about VBAC.  You do not want to do everything possible to prepare an then show up at your birthplace and realize that you won’t be able to have the birth you have prepared for.

    WHAT IF…
    If your VBAC doesn’t work out, be easy on yourself. 
    • Ease that path by writing a cesarean birth plan – what do you want to do differently this time
    • As long as things are not critical, you can opt for a “natural cesarean”, where some of the principles of natural birth can be honored.
    (Krystyna’s note:HERE is a family-centered cesarean on film.  What is a little startling about this is that one of the references is dated 2008!  At least we are doing our part to bring awareness to this option.)

    BELIEVE IN YOURSELF
    • If you feel inside that you can do it, then give it a go!
    • Have faith in yourself

    *Rate for one baby, head down, for patients who wanted to have a vaginal birth was 7% in 2014. This marks the third year they have collected data and the rate has remained 8 % or below whilst their overall number of patients rises each year. 


    What did you do to prepare for your VBAC/CBAC journey?  What did you learn that you are willing to share?
    Please leave us a comment - it will be moderated and posted.  *I think* that the amount of traffic you so generously generate has led to a lot of spam posting.  In an effort to keep the spam to a minimum, I am taking the time to moderate comments now.


    Link List
    Visual reference of labor positions during EFM
    http://www.icanofatlanta.com/?page_id=159

    The Family-Centered Cesarean
    http://blog.ican-online.org/2012/04/14/the-family-centered-cesarean/   

    Video: The Family-Centered Cesarean
    http://www.youtube.com/watch?v=m5RIcaK98Yg


    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson  Disclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.



    VBAC: The BIG picture of the risks

    Posted on April 24, 2015 at 9:58 AM Comments comments (0)
    Uterine Rupture.   

    If you have had a previous cesarean, this is THE “drop” word for many care providers when they have their “informed consent” talk with patients for consequent pregnancies.

    Today I want to take a look at several other complications related to labor and delivery.  If your care provider is expecting you to be influenced by risk factors for uterine rupture, I think it is fair to look at all the other risk factors of pregnancy and labor in order to create a bigger picture and put things into perspective.

    Pregnancy is generally considered a healthy time in a woman’s life.  In order to make life, the woman’s body has to be able to support that life.  In most cases, it is healthy women who become pregnant.  What do we have to be afraid of?  In most cases: nothing.  However, as with many if not all things in life, there is a certain level of risk, and yes, sometimes things go wrong.

    So let’s start with the risk numbers for uterine rupture.  Read THIS blog post for an in depth look at the numbers.  Here is the summary of the incidence of uterine rupture, depending on what category you fall in:
     

    • Unscarred Uterus: 0.0033% (primigravidas) to 0.0051% (multigravidas)
    • VBAC: .5% - .7% 
    • VBA2C: 1.7%  (vaginal birth after 2 cesareans) 
    • VBAMC: 1.2%  (vaginal birth after multiple cesareans) 
    • Previous VBAC: .4% - .5%  (if you had a previous successful VBAC) 
    • VBAC + Augmented labor:  .9%  (stats for first attempt) 
    • VBAC + Induced labor: 1%  (stats for first attempt) 


    So what are your risks of other complications of labor?





    True statisticians are going to take issue with this oversimplification of comparisons.  In recognition that a percentage is more than its face value, here are the ratios and the sources for my information:

    Postpartum Hemorrhage:  1/5 – .2000 – 20%
    Definition:  “Postpartum hemorrhage is traditionally defined as blood loss greater than 500 mL during a vaginal delivery or greater than 1,000 mL with a cesarean delivery. However, significant blood loss can be well tolerated by most young healthy females, and an uncomplicated delivery often results in blood loss of more than 500 mL without any compromise of the mother's condition.” Quoted from Medscape  
     
    “The incidence of postpartum hemorrhage is about 1 in 5 pregnancies, but this figure varies widely due to differential definitions for postpartum hemorrhage.” 
    Stat SOURCE

    Preterm labor and preterm delivery: 1/9 – .1111 – 11.11%
    Definition: Baby born before 37 weeks
    Stat SOURCE

    Post-Maturity: 3-6%
    Definition:  pregnancy past 42 weeks in which the placenta cannot provide the nourishment to maintain a healthy fetus
    “The incidence of postdates ranges from 3 - 12% of all pregnancies. If the pregnancy is dated using ultrasound criteria, the incidence of post-dates is lower and ranges from 3 - 6%. Only 1 - 4% of all pregnancies continue to 43 weeks.”
    Stat & Quote SOURCE

    Breech presentation: 3-4 % of all deliveries
    Definitions of the types of breech:
    Frank breech (50 – 70% of all breeches): In a frank breech, the baby's buttocks lead the way into the pelvis; the hips are flexed, the knee extended (pike position).

    Complete breech (5 – 10% of all breech): In a complete breech, both knees and hips are flexed, and the baby's buttocks or feet may enter the birth canal first (cannonball position).

    Footling breech (10 – 30% of all breech): one or both feet lead the way.
    Stat SOURCE for frank, complete, and footling breech birth

    Transverse lie. A few babies lie horizontally in the uterus, called a transverse lie, which usually means the baby's shoulder will lead the way into the birth canal rather than the head.  1/500 –  .0020 – 0.20%
    Stat SOURCE

    Preterm Premature Rupture of Membranes before 37 weeks: 3%
    3% of all pregnancies and occurs in approximately 150,000 pregnancies yearly in the United States 
    Stat SOURCE

    Preeclampsia:  2% to 6%
    Definition:  a condition of pregnancy in which the mother’s blood pressure starts to rise to dangerously high levels, the indicator for possibility of more complications that are potentially fatal to mother and/or baby; 2% to 6% in healthy, nulliparous women (women who have never given birth yet) 
    Stat SOURCE

    Placenta Abruptio: 1.0%
    Definition:  the placenta separates from the uterine wall before delivery of the baby
    “The frequency of abruptio placentae in the United States is approximately 1%, and a severe abruption leading to fetal death occurs in 0.12% of pregnancies (1:830).”
    Stat & Quote SOURCE

    UTERINE RUPTURE STATS FALL HERE

    Umbilical cord prolapse: 1/300 – .0033 – 0.33%
    Definition: the umbilical cord precedes the baby in the birth canal
    Stat SOURCE

    Placenta Accreta: 1/533 – .0018 – 0.18%
    Definition:  the placenta grows too deeply through the uterine wall 
    July 2012 study publication
    Stat SOURCE

    What do you think now that you have seen a wide array of complications and risks?
    Please leave us a comment - it will be moderated and posted.  
    *I think* that the amount of traffic you so generously generate has led to a lot of spam posting.  In an effort to keep the spam to a minimum, I am taking the time to moderate comments now.

    For more reading:
    Uterine Rupture in Pregnancy: Article dated July 31, 2012

    The Risks of Cesarean Section
    http://www.motherfriendly.org/Resources/Documents/TheRisksofCesareanSectionFebruary2010.pdf

    Disclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

    Q&A with SPB: Cesarean Support

    Posted on April 21, 2015 at 3:18 AM Comments comments (0)
    April is Cesarean Awareness Month.  Today I am bringing you a virtual interview with local Phoenix ICAN Chapter co-leader, Jenni Froment, as well as a VLOG with Stephanie Stanley, founder and instructor at Give-Birth.org.

    I interviewed Stephanie about her childbirth classes last week.  She came back to sit down with me and talk about the mission of ICAN, and we talked a little about peer-to-peer support.  Here is what she had to say about this amazing group:


    ICAN Chapter Co-Leader -- Phoenix, AZ - cesarean birth prevention - recovery - advocacy


    And here is my virtual interview with Jenni Fromment, one of the co-leaders of our local ICAN chapter in Phoenix, AZ.


    Tell me about ICAN and the mission of the organization.
    ICAN has focused our time and attention on improving maternal-child health by preventing unnecessary cesareans and promoting  a conversation around VBAC.  We do this through education, and by providing support to women that have gone through unnecessary cesareans and/or are planning future VBACs.  The idea was born between two women back in the 80s, Esther and Liz, whom both had cesareans and committed to never having one again.  We have chapters all around the world, and at least one chapter in almost all states in the US.
     
    Can you tell me more about the ICAN community?
    ICAN of Phoenix has such an amazing community, I am really proud of the dynamic of the group and the support we offer the women of Phoenix.  Our growth over the last couple years is really a testament to the impact we are making, and our greatest achievement so far has been getting ourselves integrated into conversations with birth professionals.  One of my personal agendas has been to build the relationship between ICAN moms and care providers that support the ICAN mission.  We do this buy building relationships with childbirth educators, doulas, midwives, and OBs.  We ask them to join our group, speak at our meetings and we talk about ICAN with them during our appointments.  We don't want it to be an "Us vs. Them" environment.  We want to work together to improve birth rights in Phoenix.

    What have you seen as the benefits of peer-to-peer support?
    This is my favorite part of the ICAN group.  This is probably the #1 reason I recommend that mothers join our group.  I can offer my perspective and experience, but I am only one person.  By joining the ICAN of Phoenix Facebook group, and coming to meetings, you get access to over 600 women in the Phoenix area that have had the same experiences, and walked the same journey as you.  It's so powerful to feel that sisterhood, and you can't put a price on the emotional impact of knowing that the women around you understand your feelings, and have been there with you.
     
    Additionally, we have a lot of different channels that we can offer for women looking for support.  They can join our facebook group for a large pool of experience and sharing opportunity.  They can join our monthly meetings for a smaller, face-to-face audience for support.  And they can always email me directly if they are wanting to share privately.  I can be reached at [email protected].

    What would you like to tell someone who has been thinking about coming to a meeting, and just hasn't gotten there yet?
    You can find someone just like you.  We are such a diverse group of women.  There are working moms, stay at home moms, moms that believe in western medicine, moms that only use essential oils, moms that believe in hospital births, moms that believe in homebirths, etc.  I remember that when I went to my first ICAN meeting, I was so worried that I wouldn't fit in and when I got there I was so relieved.  It was just a bunch of women, some like me, some different, but all there with the common purpose of trying to find empowerment for our births.  There is such a fellowship, it's beautiful.  I also tell women not to worry about being forced to share their feelings, or tell their story if they are not ready.  Our meetings come planned with an ICAN-related topic, and then time for people to ask questions and share their stories if they want to.  No one has to share or speak if they don't feel comfortable doing so.

    If you have heard about an ICAN chapter in your area, and you still haven't made it to a meeting, I encourage you to take the first step and get to a meeting this month.  You may feel all alone...as Stephanie mentioned, find your courage and come out to a meeting.  You are not alone.  There is more to birth than,"at least you have a healthy baby".  This support group knows it and is available to walk your postpartum journey with you.

    ICAN Infernational: http://www.ican-online.org/


    Have you had help along your postpartum journey?  What worked for you?
    Feel free to give a shout-out to your local ICAN group or your ICAN leaders in the comments.  Comments will be moderated and posted.

    BUT WAIT - THERE'S MORE:
    Here are some specials for the month of April from ICAN and Give-Birth...

    ICAN:
    Membership Sale - www.ican-online.org/join
    Give-Birth:
    In honor of Cesarean Awareness Month Stephanie will be offering her 6 Week Class Series for $100! If you're not due for a while you can still take advantage of this offer. Contact her for details. 

    Disclaimer: 
    Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonThe material included in this video and blog is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The viewer should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

    Q&A with SPB: Childbirth Classes for VBAC or CBAC

    Posted on April 14, 2015 at 10:57 AM Comments comments (0)
    Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
    A little terminology for the uninitiated:
    ICAN ~ International Cesarean Awareness Network
    VBAC ~ Vaginal Birth After Cesarean
    CBAC ~ Cesarean Birth After Cesarean

    We are honored to share an amazing childbirth educator and Cesarean Birth Advocate with you today.  We got to sit down with Stephanie Stanley, founder of Give-Birth.org, and in today's VLOG we bring you a short interview with her:








    GiveBirth Workshops: 
    Want to learn more about what VBAC is, why it matters, and why it's not standard practice for most care providers?

    The GiveBirth VBAC workshop will go in depth to answer all these questions and we don't stop there. In this 4 hour educational and interactive workshop you and your partner (and doula too, if you want to bring her!) will learn all about your options for VBAC, how to find the information and resources you need to make birth choices that are right for you, and how to release your previous expectations (or limitations) of birth and move forward open to a new experience. We also include 9 practical tips to prepare for your VBAC. 

    For more information, visit the website or contact me. 
    www.give-birth.org or give [email protected]

    Cesarean Awareness Month Special: In honor of Cesarean Awareness Month I will be offering my 6 Week Class Series for $100! If you are not due for a while you can still take advantage of this offer. Contact me for details. 

    Upcoming Classes
    Preparing for Birth After Cesarean - 6 Week Series
    Wednesday evenings, May 6th - June 10th

    GiveBirth: VBAC Workshop 
    Saturday May 23rd (time TBA)

    About GiveBirth
    GiveBirth is an idea born of a desire to help new parents discover and enjoy the experience of birth, regardless of how their birth unfolds. Birth is a transition for both the baby and the parents, as individuals and as a family. The way we welcome our children into this world, into our lives, begins at birth and our experience impacts bonding and growth through that transition. Our goal with GiveBirth is to create an organization committed to educating, supporting, inspiring and empowering parents as they prepare to Give Birth.

    Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

    Disclaimer: 
    Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonThe material included in this blog and video is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader and/or viewer should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

    Wordless Wednesday: Cesarean Awareness Month

    Posted on April 8, 2015 at 6:10 PM Comments comments (0)
    There are no mommy wars on this page.  Every birth is acknowledged, as our tag line is, "Celebrating every Sweet Pea and their birth."  However your child enters the world, it is the day of their birth, as well as the birth of a Mother and Father.  If you need help processing your birth, please email me at krystyna{at}sweetpeabirths{dot}com and I would be happy to send you a resource list.
     
    Cesareans:
    This Coach still got to cut the cord - you can preserve some elements of your birth plan, even if it plays out differently than you prepared for.


    Vaginal Birth After Cesarean (VBAC):

    SPB students working through VBAC labor

    ICAN of Phoenix leader and baby*

    ICAN of Phoenix leader, husband and VBAC baby*

    We celebrate ALL births at Sweet Pea Births - ALL Birth-Days are the first day of your family's life. That is not to say there is not grief or sorrow for a birth that doesn't go as expected - we hope and pray that with time, glimmers of joy can be gleaned from your birth experience. If you had a cesarean birth, we invite you to find an ICAN support group in your area, and then prepare for a VBAC if that is a choice that works for your family.

    Thank you to our students and friends who sent pictures to share today...there is so much to say about cesareans...we'll leave these pictures with you today and share words and thoughts throughout the month.  

    *not an SPB student - they took a Birthing From Within Class as part of their VBAC journey


    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.



    VBAC: What Your OB is Supposed To Know and Acknowledge

    Posted on April 3, 2015 at 3:42 PM Comments comments (0)
    Last year I wrote an article on evidence-based practice for The Clarion, the newsletter published by ICAN and sent to it’s subscribers (Spring 2014).  I read A LOT of documents and studies in preparation for that! 

    Since it is Cesarean Awareness Month, I thought it fitting to share those with you.  The information shared below is accessible to all care providers who care for women in their childbearing years.  

    If you would like a Trial of Labor with a subsequent pregnancy after a cesarean birth, then inform yourself about what the professionals are saying.  Examine your expectations, and find a care provider that supports your intentions for your next birth journey.

    I have provided a brief summary, excerpt, and link to the complete document so that you can read that are meaningful to you in full.
     

    This document from ACOG sets new goals for the obstetrical practice as a whole to re-evaluate their standard practices and make necessary changes to reduce the primary cesarean rate:
    Safe Prevention of the Primary Cesarean Delivery
    Excerpt:
    Abstract: In 2011, one in three women who gave birth in the United States did so by cesarean delivery. Cesarean birth can be life-saving for the fetus, the mother, or both in certain cases. However, the rapid increase in cesarean birth rates from 1996 to 2011 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused. Variation in the rates of nulliparous, term, singleton, vertex cesarean births also indicates that clinical practice patterns affect the number of cesarean births performed. The most common indications for primary cesarean delivery include, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia. Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of these, as well as other, indications. For example, it may be necessary to revisit the definition of labor dystocia because recent data show that contemporary labor progresses at a rate substantially slower than what was historically taught. Additionally, improved and standardized fetal heart rate interpretation and management may have an effect. Increasing women’s access to nonmedical interventions during labor, such as continuous labor and delivery support, also has been shown to reduce cesarean birth rates. External cephalic version for breech presentation and a trial of labor for women with twin gestations when the first twin is in cephalic presentation are other of several examples of interventions that can contribute to the safe lowering of the primary cesarean delivery rate.

    ACOG http://bit.ly/1e5A2TW
     
    This document from ACOG outlines the benefits and risks of a trial of labor after a cesarean (TOLAC), and help a doctor and a patient determine whether or not they are a candidate for TOLAC:Vaginal Birth After Previous Cesarean Delivery
    Excerpt:
    Trial of labor after previous cesarean delivery (TOLAC)* provides women who desire a vaginal delivery with the possibility of achieving that goal—a vaginal birth after cesarean delivery (VBAC)†. In addition to fulfilling a patient's preference for vaginal delivery, at an individual level VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies. At a population level, VBAC also is associated with a decrease in the overall cesarean delivery rate (1, 2). Although TOLAC is appropriate for many women with a history of a cesarean delivery, several factors increase the likelihood of a failed trial of labor, which compared with VBAC, is associated with increased maternal and perinatal morbidity (3–5). Assessment of individual risks and the likelihood of VBAC is, therefore, important in determining who are appropriate candidates for TOLAC. The purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and provide practical guidelines for managing and counseling patients who will give birth after a previous cesarean delivery. 

     
    This article outlines some of the different changes that might be made in the way labor is managed – definitely talking points for ANY family to discuss with their care provider to ensure they are receiving evidence-based care:
    Safe Prevention of the Primary Cesarean Delivery: ACOG and SMFM Change the Game

    Excerpt:

    The alarming and sustained increase in the cesarean rate in the United States has not improved either maternal or neonatal outcomes. In fact, data suggest that there is increased maternal mortality and morbidity associated with cesarean delivery. This statement describes the myriad of complications associated with cesarean and the increased risks associated with cesarean for mother and baby. The authors suggest that potentially modifiable factors, such as patient preferences and practice variation among hospitals, systems, and health care providers are likely to contribute to the escalating cesarean rates. There is a need to prevent overuse of cesarean, particularly the primary cesarean.
    Science & Sensibility » http://bit.ly/1imlVdt
     
    Prepared with the intention, “To provide health care providers, patients, and the general public with a responsible assessment of currently available data on vaginal birth after cesarean (VBAC).”
    NIH Vaginal Birth After Cesarean (VBAC) Conference - Panel Statement
    Excerpt:
    Given the available evidence, trial of labor is a reasonable option for many pregnant women with one prior low transverse uterine incision. The data reviewed in this report show that both trial of labor and elective repeat cesarean delivery for a pregnant woman with one prior transverse uterine incision have important risks and benefits and that these risks and benefits differ for the woman and her fetus. This poses a profound ethical dilemma for the woman as well as her caregivers, because benefit for the woman may come at the price of increased risk for the fetus and vice versa. This conundrum is worsened by the general paucity of high-level evidence about both medical and nonmedical factors, which prevents the precise quantification of risks and benefits that might help to make an informed decision about trial of labor compared with elective repeat cesarean delivery. We are mindful of these clinical and ethical uncertainties in making the following conclusions and recommendations.
     
    One of our major goals is to support pregnant women with one prior transverse uterine incision to make informed decisions about trial of labor compared with elective repeat cesarean delivery. We recommend clinicians and other maternity care providers use the responses to the six questions, especially questions 3 and 4, to incorporate an evidence-based approach into the decision-making process. Information, including risk assessment, should be shared with the woman at a level and pace that she can understand. When trial of labor and elective repeat cesarean delivery are medically equivalent options, a shared decision-making process should be adopted and, whenever possible, the woman’s preference should be honored.
     
    We are concerned about the barriers that women face in gaining access to clinicians and facilities that are able and willing to offer trial of labor. Given the low level of evidence for the requirement for “immediately available” surgical and anesthesia personnel in current guidelines, we recommend that the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists reassess this requirement with specific reference to other obstetric complications of comparable risk, risk stratification, and in light of limited physician and nursing resources. Health care organizations, physicians, and other clinicians should consider making public their trial of labor policies and VBAC rates, as well as their plans for responding to obstetric emergencies. We recommend that hospitals, maternity care providers, health care and professional liability insurers, consumers, and policymakers collaborate on the development of integrated services that could mitigate or even eliminate current barriers to trial of labor.
     
    We are concerned that medical-legal considerations add to, and in many instances exacerbate, these barriers to trial of labor. Policymakers, providers, and other stakeholders must collaborate in developing and implementating appropriate strategies to mitigate the chilling effect the medical-legal environment has on access to care.
     
    High-quality research is needed in many areas. We have identified areas that need attention in response to question 6. Research in these areas should be given appropriate priority and should be adequately funded – especially studies that would help to characterize more precisely the short-term and long-term maternal, fetal, and neonatal outcomes of trial of labor and elective repeat cesarean delivery.
     
    Perspective and summary of the revised recommendations issued by online news source, Medscape:
    ACOG Issues Less Restrictive Guidelines for VBAC
    Excerpt:
    Trial of labor after previous cesarean delivery (TOLAC) is safe and appropriate for most women with previous cesarean delivery, including some women with 2 previous cesarean deliveries, according to less restrictive guidelines issued by the American College of Obstetricians and Gynecologists (ACOG). The revised recommendations for attempting vaginal birth after cesarean delivery (VBAC) are reported in a practice bulletin published in the August issue of Obstetrics & Gynecology.

     
    A look at what evidence-based practice is – great place to empower you as a consumer and demand evidence-based care, and help evaluate the choice to change providers if you are not getting evidence-based care:
    Introduction to Evidence-Based Practice
    Excerpt:
    The most common definition of Evidence-Based Practice (EBP) is from Dr. David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)

    EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values. The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology. (Sackett D, 2002)



    The evidence, by itself, does not make the decision, but it can help support the patient care process. The full integration of these three components into clinical decisions enhances the opportunity for optimal clinical outcomes and quality of life. The practice of EBP is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, and/or the etiology of disorders.

    Evidence-Based Practice requires new skills of the clinician, including efficient literature searching, and the application of formal rules of evidence in evaluating the clinical literature.
     
    LibGuides at Duke University Medical Center http://bit.ly/1e5zxcH
     
    The jury is still out as to how this will affect mothers who birthed by cesarean who want a Trial of Labor with subsequent pregnancies.  Theoritically, it should allow for more time before a mother is considered "past due" and a care provider talks about induction.
    Ob-Gyns Redefine Meaning of "Term Pregnancy"
    Excerpt: 
    Washington, DC -- The nation’s ob-gyns have redefined ‘term pregnancy’ to improve newborn outcomes and expand efforts to prevent nonmedically indicated deliveries before 39 weeks of gestation. In a joint Committee Opinion, The American College of Obstetricians and Gynecologists (The College) and the Society for Maternal-Fetal Medicine (SMFM) are discouraging use of the general label ‘term pregnancy’ and replacing it with a series of more specific labels: ‘early term,’ ‘full term,’ ‘late term,’ and ‘postterm.’  
     
    The following represent the four new definitions of ‘term’ deliveries:
      • Early Term:  Between 37 weeks 0 days and 38 weeks 6 days
      • Full Term:    Between 39 weeks 0 days and 40 weeks 6 days
      • Late Term:   Between 41 weeks 0 days and 41 weeks 6 days
      • Postterm:     Between 42 weeks 0 days and beyond


    “This terminology change makes it clear to both patients and doctors that newborn outcomes are not uniform even after 37 weeks,” said Jeffrey L. Ecker, MD, chair of The College’s Committee on Obstetric Practice. “Each week of gestation up to 39 weeks is important for a fetus to fully develop before delivery and have a healthy start.”


    ACOG Publication http://bit.ly/1y5woWq

    Any thoughts on cesareans or VBAC?
    Please leave a comment – it will be moderated and posted.
     

    Disclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson


    Wordless Wednesday: Breastfeeding

    Posted on April 10, 2014 at 7:25 AM Comments comments (0)
    This week's theme for Wordless Wednesday was breastfeeding in the immediate postpartum period.  Whether you birthed vaginally or via cesarean, it is possible for mothers to breastfeed.  

    Our first series is of a mama feeding in the recovery room after a cesarean, and a day later, still swollen from the drugs used for the induction and the cesarean.  She went on to have a great breastfeeding relationship with this Sweet Pea, and was our student for her VBAC baby in 2013.


    The second set of pictures are from our births.  I hadn't thought about it until after seeing our student's comments about her third picture...I was definitely more swollen after Charger's birth than any of the others because I got lots of IV fluids between the penicillin (I was positive for GBS Strep) and the Pitocin over our two days in the hospital. 


    Interesting to note which babies I nursed skin-to-skin and which ones were handed to me as little burritos...now that I know better we talk about immediate skin-to-skin in the postpartum period to help get breastfeeding off to a good start.


    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Disclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.



    Inside Look: Vbac Junkie

    Posted on April 5, 2014 at 7:09 PM Comments comments (0)
    Jesse Franks is a mom who I had the honor to meet early on in her VBAC journey.  She is now a co-leader of the ICAN of Phoenix Chapter and admin at the facebook page Vbacjunkie
     
    She is not only an amazing mama and leader, she is also a talented artist.  She has graced many a belly cast with her imaginative art, and she recently opened an Etsy shop to celebrate birth.   

    What motivated you to start a making jewelry? 
    I can't remember a time when I wasn't motivated to make jewelry! But the vbacjunkie project started late 2013, when I was trying to find the perfect gift for a friend. She recently had a home birth VBAC with twins. I quickly realized finding that specialized of a gift would be next to impossible, so I got to it!  

    What inspires your designs?
    The women I meet and the birth stories I hear. I may not always remember a name, but I can remember an impressive amount of details from someone's birth story. And no matter what the story, women deserve the chance to show off that story.

    What else are you offering in your shop?
    Right now we have personalized jewelry and crease-less hair ties.  Any of them can be personalized with stamped pendants.  I hope to have some personalized baby hats up soon.


    What sets your shop apart from other stores on Etsy?
    I am the only VBAC store out there!  CBAC, HBAC, VBAC, Home birth, I know I'm not appealing to a huge market, but this is where my passion is, it's where my energy goes. 

    What do you like to do when you’re not making jewelry or being crafty?
    I am a stay at home mom of two, number three on the way, and my kiddos keep me pretty busy.  I also spend a lot of time doing volunteer work for ICAN.  (International Cesarean Awareness Network)  I do love running though.  I just finished my first 1/2 marathon in January.  And when I can sneak it in, I watch terrible reality TV.  Its my guilty pleasure.  


    How did you celebrate your births? 
    Please leave us a comment - it will be moderated and posted. 
     

    Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
    The material included on this site is for informational purposes only.
    It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.



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