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Sally's Home VBAC
My first baby was born in hospital. His birth was the culmination of a
very traumatic and violent chain of events ending in an emergency caesarean
section. His birth affected me in many emotional and physical ways. I
always felt that his entrance into this world was not right, that the
caesarean and events leading up to his birth was unnecessary and unnatural.
I felt betrayed, abused and alone. I suffered Post Traumatic Stress Disorder
as a consequence.
When I fell pregnant with my second baby, I'd already carried out research
into vaginal birth after caesarean (VBAC) and knew my best chance of achieving
as natural birth as possible with minimal obstetric intervention was to
have my baby in the safety of my own home.
I initially booked in with my NHS Trust requesting midwifery led care
and a homebirth. I struggled to gain support of my plans from them, and
in the end, I engaged Tracy as my Midwife. I should have engaged her sooner.
It was like a breath of fresh air. Tracy fully understood my fears, concerns
and how strongly I wanted to give birth to my baby. She advised me of
the risks involved, and ensured I was making an informed decision regarding
having my baby at home.
Tracy was fantastic, and it was her brilliant care and support that enabled
me to have the confidence in myself to follow my instincts and give birth
to my baby at home. The whole experience was very healing and cathartic,
and helped me put to rest old emotional issues from my first son's birth.
There now follows the story of my triumphant and glorious homebirth!
I woke on the Thursday with the same regular braxton hicks that I'd had
for the past week or so, I started to get James ready and clean the kitchen
and bathroom. A couple of the braxton hicks later in the morning had begun
to travel into my back as a crampy feeling. I was expecting a visit from
Tracy that morning and when she arrived, I told her about the crampy contractions.
When she was palpating my tummy, I had one; she kept her hands on my tummy
and said jokingly that she'd probably be back later. She went home after
visiting me, and I carried on with my usual day, thinking that nothing
was painful enough to be anything serious.
My mum came later on that afternoon and we went for a walk to the beach,
the cramps were coming about every 15 minutes or so, but still were not
painful. We got back from our walk around 5.00pm ish, I was still timing
them at between 10 and 15 mins, but they still were not painful. I had
asked Tracy earlier how I could tell if the cramps became proper contractions,
and she said if the crampy pain went all over my bump to the top. Well,
at this stage, I could only feel the cramps in the lower part and into
my back, so I thought they were still just the braxton hicks.
I got James into bed and Stephen came home from work at about 6.45pm,
we had dinner, a (large) glass of wine and settled down to watch a film
on TV, continuing to time my cramps, which were between 7 & 10 mins
apart, still only in the bottom of my tummy and into my back, becoming
uncomfortable, but not painful by any means. We went to bed at about 11.00pm.
I dozed between cramps and after about midnight, I found that I had to
breathe deeply in and out whilst having one. I still thought I was just
niggling.
I got up at about 1.00am and put on my TENS, thinking that these niggles
are becoming a bit uncomfortable, but they may fizzle out soon. Stephen
thought he may as well set up the pool, so got on with that whilst I played
with the TENS on the sofa. We set up the music in the lounge, and I thought
I'd better call Tracy to let her know I was niggling and I might need
her in the morning. She said it would take her an hour and a half to load
up the car, and get across to us, so she would come out and if necessary
go home again if nothing serious was happening. I then called my mum,
who arrived about half an hour later.
At about 3.00am Tracy and Linda arrived, they came in and we all had a
cup of tea and laughed at Tracy's husbands slippers which she was wearing.
It was very calming and reassuring to have Tracy there.
Linda was feeling my tummy through every crampy tightening, and said that
they were contractions. I was quite surprised, as I'd expected them to
go home again saying I wasn't in labour.
They went to unload the car, and then we discussed an examination to determine
if I was dilating. Tracy examined me and I was 7cm with bulging membranes,
thrilled would be an understatement! I was labouring effectively - my
body was doing it!!! I'd niggled my way to 7cm.
During the next few hours things progressed quite slowly, and I laboured
very gently. We had cups of tea, and chatted about all sorts. Tracy kept
checking my pulse and the baby's heart. My pulse never got above 65, and
baby remained happy. I got in the pool when I heard the dawn chorus, it
was heavenly, so relaxing and I felt so comfortable. Unfortunately, I
became so relaxed that my contractions stopped, so I decided to get out
of the pool and walk about to get things going again.
The contractions were beginning to get quite painful, so I decided to
have a bit of gas and air with each one. I asked Tracy to examine me at
about 8am, and I was about 8cm with membranes still intact and bulging.
She said they may rupture with the next couple of contractions. I laboured
another couple of hours, walking around the house, using the birth ball
and sitting on the loo (which I found really comfortable).
At about 10am I started to feel that everything was taking too long, and
it was never going to end. Tracy suggested me having a feel inside to
see if I could feel the baby's head and membranes. I did and could feel
a bulging squashy bag before my baby's head. Tracy said that the membranes
still being intact may be slowing things down a bit, but there was no
problem with this.
I wanted things to move a bit quicker, so we discussed ARM. Linda performed
the ARM and she agreed that the membranes were quite tough and thick.
The liquor was clear, and baby remained happy. From then on, I kept myself
in a vertical forward position, which gave quite painful contractions.
I decided to go back to sit on the loo, and then got stuck in the bathroom,
unable to move back to the lounge to give birth, everyone brought all
the sheets and towels through to the bathroom.
I began to get pushy feelings at the end of each contraction, so I got
off the loo and on to all fours on the bathroom floor. I then began to
get really sweaty and leak colostrum. I was amazed that my body was working
- I was going to give birth to my baby. I tried pushing in a few positions
- on all fours, sitting on one bum cheek, squatting..... I eventually
settled laid down on my side, and Linda held my leg for each contraction
whilst I pushed like a demon through each pain. I pushed for about 50
mins then felt the most excruciating pain as David's head was crowning.
I felt myself stretching and then felt my skin reach its limit as the
stretch stopped, and I panicked as I knew his head was not yet born and
thought how was I going to get him out. Tracy told me not to be frightened,
and keep going. Then I heard them tell me to pant, which I did, and felt
Tracy supporting my perineum. David's head slipped back in, so I had to
do the push/pant thing a couple more times before I felt his head born.
The next contraction enabled me to push his shoulders and body out. I
DID IT!!!! Stephen was crying, I was laughing. I felt amazing, powerful,
strong and womanly. I had a cuddle with him as soon as he was born, he
was my baby and I held him as soon as he was born. I gave birth to him.
I worked so hard to birth him, I felt him be born by my body. He was slippery
and warm and I loved him immediately, then he did a wee on me!
Stephen cut the cord when it had stopped pulsating, and my physiological
3rd stage lasted 5 mins. I needed stitches for a 2nd deg. tear, but I
didn't care. I'd birthed my baby at home.
My pulse then rocketed to 90-100bpm, I felt sick, weak, breathless and
couldn't stand. My blood loss became heavy and I was soaking through pads.
We discussed options, and Tracy decided that it was better to be safe
than sorry and go to hospital to be checked out.
We all went and by this time my loss had settled and my pulse had aswell.
My consultant had been called from home (novelty factor I think, IM's
and HBAC) she arrived and said "we're all thinking ruptured scar
here" she suggested me having a full internal examination and an
overnight stay. I said no thank you and went home. I had a great night
sleep, David slept through the night with us and I woke the next day feeling
much better. My breast feeding was established within a couple of days
- so much easier than post caesarean.
My homebirth was such a life changing event, and I'm so glad I decided
to break with conformity and go for it. I certainly couldn't have achieved
it without Tracy.
I will NEVER plan to have any more children in hospital. Homebirth is
how it should be!
(Sorry it's so long, and if you managed to get this far - thanks for reading) |
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