Today's episode is a combination of 3 birth stories and then a chat with a fellow birth worker named Meagan Heaton, co-founder of The VBAC Link. She's going to share a little bit about her three births, which include two cesareans and one vaginal birth after two cesareans. Then we have a chat about vaginal birth after cesarean. This episode should be interesting and educational even if you are expecting your first baby and haven’t ever had a cesarean. The strategies and information you'll hear us chat about could help you ensure you’re hiring a medical care provider who is only going to intervene and do a cesarean if absolutely necessary. It’ll also help you think about questions you might want to ask as you’re hiring a care provider whether it’s your first time or you’ve had a cesarean and would like to VBAC. A lot of expectant or new parents have told me after having a cesarean they thought it’s “once a cesarean always a cesarean” for any subsequent births. But if someone has a cesarean, it’s evidence-based in the majority of cases to give that person a chance to give birth vaginally if they’d like to. So we’ll do some mythbusting on this today. We’ll also discuss some of the reasons why we don’t believe 39-week inductions that’ve been all the rage since 2018 due to the ARRIVE Trial are leading to fewer cesareans.

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Seanna had a traumatic first birth in 2020. It was an emergency cesarean in 2020 in which she felt completely unempowered. In her 2nd pregnancy, she makes many different decisions in hopes to have a radically different, more empowering birth. She goes to therapy to process and heal from the birth trauma with the help of EMDR. Seanna takes birth class and learns how to advocate for herself and her baby, hires doulas, chooses a truly VBAC-supportive OB at a different hospital, and seeks bodywork from a chiropractor and acupuncturist. This story will hopefully be of encouragement to anyone who’s had a traumatic first birth that a second birth can be healing – but often not without some thoughtful, strategic choices. And for listeners expecting their first baby, this story will drive home how valuable your birth setting, support team, and education can be to protect your experience and your baby’s birth to be as healthy and safe as it can be.

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Today NYC obstetricians Drs. Worth & Mussalli chat with Lisa to discuss all the ins and outs of gentle cesarean as well as the different medical indications for a c-section. They also compare and contrast planned cesareans to emergency cesareans to non-emergent cesareans. You’ll also hear them detail a new collaborative care model pathway in which pregnant folks in NYC can get prenatal care with them and then transfer their care for the big day to midwives at a local hospital. Grab a pen/device and take some notes to develop your belly birth plan, whether it’s being planned or just in case!

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