There may seem like there are two options for your next baby after having a cesarean for a previous birth. Current care rests heavily on the convenience of a repeat cesarean and therefore a repeat cesarean is the most common “choice.” Another cesarean would be familiar to both mother and medical team. Knowing what to expect can be reassuring to everyone. The birth can be scheduled, the nearly routine challenges of major surgery feel manageable to surgical staff, and the risks of major surgery are acceptable in the medical-legal culture’s understanding. Therefore, law suites may be less when harm comes from a repeat cesarean.
Some women have undeniable medical reasons for having their babies by cesarean section. Some women experience cesarean for reasons of that day that may not have led to a cesarean with different knowledge about prenatal care or caring for the laboring woman. But they didn’t have that option that day. Let’s be open to compassion for ourselves and for others.
We make the best decisions we can given the situation we live in, personally and in our group.
The second choice is vaginal birth. Since vaginal birth is not 100% guaranteed to be possible, the other choice is actually going into labor with the intention of vaginal birth. If a mother has had 1 or 2 previous cesareans this is considered a safe enough choice. The risk of uterine rupture is at least as unlikely as complications of a repeat cesarean and potential damage in future pregnancies after 2 or 3 cesareans. Many women
Enjoy the miracle hidden within both options. Joy can be found in every birth! A bit of preparation and communication can bring about delightful improvements and bonding in both surgical and vaginal birth. This doesn’t make them the same, however, just more mother-baby centered than without introducing your personal story to the birth team.
Your level of desire for having a planned cesarean or planning a vaginal birth may be the most important factor in decision making. Penny Simkin has a useful scale to help in decision making.
Find your way to “Yes!”
Give yourself the gift of envisioning wholeness. If your pelvis didn’t get smashed in an accident, then you aren’t broken. Many broken pelvises can be repaired, but add body work to give joint flexibility and muscle lengthening (not strengthening!) for better birthing.
There will be providers and maybe family that worry about your upcoming birth. You don’t have to take their worries into your body and mind. A high rates for cesarean section means the understanding for how to protect and support vaginal birth is low or even missing among many providers. If your provider is an expert at surgery but inexperienced at spontaneous, natural birth, consider changing providers to someone with the skills for vaginal birth.
Many providers express worry about the unknowns of nature and birth. They see it as their job to share every worry they have about Vaginal Birth After Cesarean (VBAC). Informed consent is factual and there are things to be aware of. However, some people think you don’t hear their concerns unless you worry, too, and express stress. Rather, you can let them do enter into a peaceful, trusting belief in your birth.
In fact, its a little helpful to expect a surprise will come up and have the flexibility to go with the unexpected. Whether or not you want to go entirely “natural” or not, a VBAC provider needs to know natural birth to know if your labor is normal or needs a cesarean, and how to help keep things normal. That is where Spinning Babies comes in.
The Spinning Babies Parent Class SHOWS you the techniques that will help avoid the major UNEXPECTED causes of cesarean in our modern times. Our video is physiological birth-specific and doesn’t address the epidural. But you can do anything you don’t need to be vertical for in these techniques while using an epidural.
This Sidelying Release also helps reduce unusual pain during childbirth. Use before labor regularly, and once in early labor or whenever the labor gets challenging or slow. The SLR smooths labor from start to finish and may help women decide an epidural is no longer needed or desirable.
Adding Balance, the first of Spinning Babies 3 Principles, will ease muscle tensions or torsion that are possibly in any woman’s pelvic floor, connective tissue around the womb, or cervical ligaments. Resolving potential imbalances, even temporarily during pregnancy and birth, can be the amazing key to a progressing labor and completing your goal of a vaginal birth.
The American College of Obstetricians invites new methods to reduce the overuse of cesarean. The Sidelying Release uses the weight of the mother’s own leg to activate the stretch receptors of pelvic muscles to lengthen and soften the path of the baby. When baby’s rotation and descent is easier, the birth becomes easier for mother and anxious provider, too. We can support womens’ expectations for vaginal birth with a series of support methods.
The Lunge, a great move to overcome “transverse arrest,” a regular cause of cesarean. Use the Lunge after Sidelying Release. Learn more about these in the Parent Class video which you can buy as a DVD, download, or stream on any device. Have it available on your device for your upcoming birth in case you want to refer to it in labor.
A VBAC is a powerful way to shape your future sense of self. If you have the health to give vaginal birth a chance, then gather the support to explore birthing through your own abilty.