Showing posts with label VBAC. Show all posts
Showing posts with label VBAC. Show all posts

Monday, December 14, 2009

Cesarean vs. VBAC: A Dramatic Difference

This is a video excerpt from the homemade film called "The Journey to Homebirth," made by Alexandra Orchard. We watched this film at the VBAC workshop I attended recently and I found it to be a really poignant story. She ends the film with a powerful letter that she wrote to her doctor, explaining why she is choosing to leave his care and have her third baby at home.

Cesarean vs. VBAC: A Dramatic Difference from Alexandra Orchard on Vimeo.


Alexandra Orchard also started a support network called
www.empoweredmomma.net.


"Our country has the best medical technology available in the world, yet we are 20th in the world for infant mortality. I am all for women’s choice in childbirth, however it is incredibly one-sided. Women can choose a cesarean for no medical reason, but I could not find one doctor in my area willing to give me the chance of a natural childbirth after two cesareans. One nurse laid it out perfectly for me: "no doctor is willing to risk their career on you", she said, and I knew she was right. But my baby and I deserved more. I knew I would be in better hands with my midwife who knew my baby so well and wouldn’t be pushing my body or my mind with time limits, instruments, or any other stresses. I felt very strongly that my chance of having a successful vaginal birth would be significantly compromised in a hospital setting. I gave birth to my daughter at home because it was right for us... We were made to do this. We don’t need to be “rescued” from this important, though sometimes difficult journey. We need to be in control and we need to be given the freedom and time to let our bodies and our babies do what needs to be done in peace. We need to be surrounded by people who will be patient with our bodies, our babies, and our progress in a natural labor. More importantly, we need to be surrounded by people who believe in us."

Sunday, December 6, 2009

Supporting Mothers Choosing VBAC















Yesterday I attended a workshop concerning the particular needs of moms who are attempting vaginal birth after cesarean. Most doctors won't even attempt a VBAC and some midwives won't either. But besides finding a care provider who will be supportive of her decision, a mother choosing VBAC will need distinctive care.

Jessica Atkins taught the workshop at Centre Vida, a birth center in south Austin. There were 12 doulas in attendance.

As I am at almost every workshop I attend, I was reminded that the role of a doula is not to fix things or to make lots of suggestions or to use the newest techniques I've learned, but to listen and to support the mother as best I can. That support will look different based on the client, so it is important that I am listening to her and learning to recognize her needs.

This is a great piece that Jessica shared with the attendees:

Support Is...

Unconditional.

Listening.

Not judging and telling your own story.

Not offering advice.

Offering a handkerchief, a touch, a hug… caring.


We are here to help women discover what they are feeling…

not to make the feelings go away.

We are here to help a woman identify her options…

not to tell her which options to choose.

We are here to discuss steps with a woman…

not to take the steps for her.

We are here to help a woman discover her own strength…

not to rescue her and leave her still vulnerable.

We are here to help a woman discover that she can help herself…

not to take that responsibility for her.

We are here to help a woman learn to choose…

not to make unnecessary for her to make difficult decisions.


The workshop didn't cover any specific comfort measures for women experiencing VBAC, but it did provide me with lots of interesting statistics about the cesarean rate in the USA today compared with decades past and other countries. Having that information and understanding more about the risks of cesarean birth will be helpful in understanding the concerns of women who are wrestling with whether or not to choose VBAC.