Amy's Birth Story–Inverted T cesarean for face presentation & out of hospital VBASSC

Reprinted with permission from Doula Momma

Graham’s c/s birth

Thursday April 3, at 41 weeks and 1 day pregnant, I woke up having mild contractions at about 5am. They were inconsistent and hard to time so I went about my day. They became a bit more regular and by noon they were 8-10 minutes apart. They were mildly painful but manageable and last the whole day. They never got longer, stronger or closer together and remained about 8 minutes apart for about 24 hours. I spent most of the day in denial that I was in labor because I expected things to progress but they never did. I just dealt with it and went about my day. My husband was at work and i felt no need for him not to be. I got used to the sensation of the contractions every 8 minutes. They remained mildly painful. I was able to get some sleep that night, waking up occassionally with contractions a little stronger than I had gotten used to, but I was able to go back to sleep after each one.

Friday morning, April 4, I got up around 6 am when I just couldn’t stand to be in the bed anymore. I spent most of the morning soaking in the tub and enjoying the jets and warm water. Again, the contractions were getting a bit stronger, but nothing I couldn’t handle. They were starting to get to where some would stop me in my tracks and they were definitely closer together. Josh had taken the day off, just in case, so we spent a lot of time relaxing in bed with Contraction Master and the breast pump trying to kick start the labor since it seemed to be dragging on. I mostly felt like resting so I just followed my instinct rather wearing myself out walking. My contractions were about a minute long by noon or so and where about 6-8 minutes apart. There were some strong ones but overall, still what I called mild. We decided to go for a walk around 4pm and went to the park with the dogs. We walked over a mile and I had had enough by then, so back home we went.

Once we were home and we were tired of Contraction Master we decided to go get some food. This was around 6pm. My contractions were about 5 minutes apart and a minute and a half long but bearable and I was hungry. On the way out I felt a lot of wetness so we stopped at the bathroom at the bottom floor of our building. I just thought it was a lot of discharge but in hindsight it was probably my water leaking. We went on post to the Mexican place (not sure what I was thinking, Mexican food while in labor???). I made a salad at the buffet and WHHHHOOOOOOOOSHHHHH… my water broke, Hollywood style and in public.. I immediately knew what it was and took off to the bathroom where to my surprise I find very thick brown water. This scared me because I was sure it was meconium so we immediately left for the hospital. We hadn’t intended on going to the hospital until I really felt the need to and physically I didn’t feel the need. The meconium made me nervous because I had been having contractions for about 36 hours at that point. Even though I knew that ‘overdue’ babies sometimes just had to poop, I was worried that he might be stressed out because of how thick it was.

The doctor I had been seeing since we got to Korea just happened to be the on call doc for the weekend and she expected me since I was 3cm and 75% effaced just two days earlier. She confirmed the meconium and said I was 7cm and more than 75% effaced. The baby was at a -3 station, which is very high in the pelvis, really barely in there at all. That explained the wooshing water break! We were admitted and my antibiotics for GBS+ were started. My contractions were registering big on the monitor and I was still talking through them while Josh and I cut up with our nurse. They were a little surprised that I was handling things that way and my nurse told me she hadn’t quite seen anyone labor like that. Most women were screaming for pain medication by then and I was acting like nothing was happening. Of course, that’s not true, I was just using my Bradley Method training to get me through each one, one at a time. We spent this time alternating between standing and swaying and sitting on the birth ball. Most of my pain was in my hips. It kind of felt like my hips were in a vice grip. Josh would squeeze them for me during the contractions but I started to not want to be touched. I didn’t want to be talked to or disturbed at all. The nurse was very respectful and kept her space. During each contractions I would just close my eyes and breathe through it. Josh thought it was funny that once the peak broke I would open my eyes and look around the room. I guess I was just making sure I was still there! The room was dim and no one bothered us. I had requested a hep lock only so after my GBS antibiotics were done, I got unhooked from the IV. I stayed on the monitor because the baby was having some late decels. They weren’t too worried about it but didn’t want me off. I didn’t mind since it was late and I was tired and I had plenty of slack to move around.

We labored almost three hours, till 11pm. The doctor asked if I wanted to be checked. She knew that I wanted limited vaginal exams but really, I was curious so I let her do it. I was still 7cm dilated and 75% effraced the baby was still at a -3 station, very high still. I was mildly disappointed that no progress had been made. I knew that usually labor was the quickest from 8-10 cm so I thought when we got there that I would be pushing in no time but instead, three hours later, there was no change. Josh and I reminded ourselves that not all labors are text book and that some people need more time. We decided to get up and do some lunging to help the baby’s position and help my hip pain. We also made sure to stay upright, standing and swaying and moving through contractions to help the baby drop into the pelvis.

Around midnight, the baby’s decels were getting worse. It was the late decel that they were concerned about. I had to be put on oxygen because the baby’s heart rate dropped with each contraction and if I stood up or sat on the birthing ball, my contractions stopped completely. We were getting frustrated because we knew the only way to work our “big” baby down the pelvis was to get up and move but we kept having problems. If I moved to much, the baby’s decels got worse. If I sat on the ball, the contractions stopped.

By 4am, I was still at 7cm and the baby was still at -3. So far, I had been at 7cm for at least 8 hours that we knew of. I hated playing that game, where we were clock watching my progress but there was NO progress. It was defeating. We were getting really concerned then. Why wouldn’t his head engage? We were doing everything we learned in Bradley class! We didn’t have an epidural keeping me in bed and slowing down my labor. We were moving and staying up right. The doctor said, “he’s big!” I didn’t believe her. And so what if he was big? I could birth a big baby!

Basically, my body was stalling just before transition. Transition can’t happen if the baby’s head isn’t putting pressure on the cervix to finish dilating the last three centimeters and with him at a -3, he wasn’t even in my pelvis yet. We were also coming close on the 48 hour mark of total labor. The oxygen seemed to help with the baby’s heart decels and as long as I sat Indian style in the bed, my contractions kept going at about 4 minutes apart and a minute and a half long. Our doctor knew how much we wanted a natural and low intervention birth so she left us to keep going as long as the baby’s heart rate didn’t get any worse.

By about 7am the concern was shifting towards my water being broken for so long while being GBS+ and having meconium. We had had three vaginal exams since we got to the hospital, in 8 hours or so. Not back considering some docs like to check hourly but still too much in my mind. The baby’s heart rate was steadily getting more irratic and my contractions where slowing down so we agreed to a pitocin drip to regulate, speed up and intensify the contractions. The pitocin would momentarily cause stronger contractions and then they would stop. The nurse would turn it up again, then it would stop. After two hours, I told them to turn it off. It was very painful when it did work but then it wasn’t really working so I didn’t want to be pumped full of chemicals for no reason.

After the nurse turned off the pit, the doctor came back in to see me at 9:30am. I was still at 7cm, baby was still at -3. I had been having contractions for 52 hours by then. I had been in the hospital for 13 hours. My water had been broken for 15 hours. My labor was stalling. My baby’s heart rate was dropping. My doctor assumed it was because his head was too big to fit in the pelvis and she also decided that he was having serious cord issues and obviously he was stressing. She told me the options: get an epidural and let’s “torture you with pitocin” (her words) or let’s go straight to surgery. Around that time I had a decent contraction and the baby’s heart rate dropped down to 60bpm. He had a very slow recovery. I chose surgery not that I had a choice in the matter any more since his heart rate had dropped so low. I didn’t like the idea of putting the baby through more stress of pitocin induced contractions. She agreed but told me later she was willing to try because we had worked so hard on the natural birth plan. By 10:30 am I am off to pre-op and by 10:45am the surgery begins.

Josh had to wait outside for the pre-op stuff. I was given a spinal because I have a blood clotting disorder and the anesthesiologist said that he had one chance to get it right or I would have to have general anesthesia. Luckily he got it right, I didn’t want to be out when my baby was born. Josh was allowed in the room and given a little chair to sit on. I had a reaction to the spinal and I was shaking so uncontrollably hard that had I not of been strapped down I think I would have fallen off! I swear that my anesthesiologist guided me through the whole thing. He did a really good job. I started to throw up and he put an alcohol swab to my nose. It was gross but it worked. I remember wondering what it looked like to see someone cut open puke.

Once the doctors (my doc called in another OB on staff to assist) got me open, they realized we had bigger problems than any of us thought. The baby was in a face first presentation, hyperextending his neck, trying to put his chin down first. This is an impossible delivery position for a baby with a 14.5 inch head. The cord was around his neck twice, very tightly and his oxygen was getting cut off. That’s why we had the decels througout the labor. With his neck hyperextended and the cord around it twice, it was getting pinched with every contraction. Typically from uterine incision to delivery, it takes one minute. Mine took 13 minutes. It also took an additional cut to my uterus, 6 vacuum extraction attempts and both OB’s plus the pediatrician to pull him out. The cut, called an inverted T incision, is typically saved for only emergencies or very difficult situations. My entire body was being jerked and pulled. I could feel myself rocking on the table even though I was completely numb. I saw blood splatter the screen. He wasn’t wanting to come out of door number two either! The doctor told me later that we were very lucky to have made the c-section call, that any pit/epi combo would have caused strong contractions and most likely have broken his neck. I lost well over a liter of blood during the surgery.

Because of the meconium, they didn’t want him to cry, so when the ped took him it was quite agonizing. Josh and I were already both crying anyway because to the trauma of the delivery but that just killed us, waiting so long. Josh was finally allowed to go see the baby and I got a quick drive by before he was whisked off. Josh stayed with Graham the entire time.

Graham was 8lbs 5oz and 20 inches long at birth. Not the big whopper we were told to expect 🙂 His face was very swollen and bruised from the birth trauma and he was very very sleepy the first day. It was agonizing to see my baby’s poor beat up little face and it was almost three hours after his birth before I got to see him. We made it though and by the time we left to come home most of the swelling and bruising were gone. Most babies have ‘cone head’ from the molding that takes place in order to fit through the pelvis and into the birth canal. Graham had cone face. He stuck his face right into my pelvis and he was pushed on and pushed on until he became so wedged that he couldn’t go forward or backward. When he was first born they thought his nose was broken so they ran a tube up his nasal passage to see if it was closed. It was open and they decided it was just swelling and not a break. He also had a hematoma on his head from the vacuum attempts.

Overall, his health was good. He had a little breathing trouble but luckily no meconium aspiration. He had a hard time latching on and it seems like we had every breastfeeding problem in the book. We stayed in the hospital for six days and milk didn’t come in until we got home. We finger fed him formula until then and after some time we were able to successfully breastfeed. At 14+ plus months, we are still going.

If you are pregnant, please understand when you read this that face first presentations are very rare and that 90% of these are birthed vaginally. Please also note that my son was left mentum transverse which is considered a physically impossible position to vaginally birth. There are not many presentations that are considered physically impossible. For instance, breech babies are often delivered via cesarean but it is not a physically impossible delivery. Babies can and do deliver breech. LMT, however, cannot pass through the pelvis at all. I am posting this for others to read so that they may find information on t incisions and face first presentations. I also hope that people can learn from my experience and do whatever they can to have a healthier pregnancy. Please see my posts about the Brewer diet and Optimal Fetal Positioning. I feel as if my cesarean was necessary. It took some time to come to that realization but I do believe it was. It’s not the birth that we planned and that we wanted and it took a long time to heal from it but we did heal. Even after everything, I still believe in birth. I believe in our bodies and our abilities. I believe that I can birth and I intend to VBAC, inverted T incision and all, next time. I do believe that how we birth matters and that our experiences stay with us and our babies for the rest of our lives.

Stella’s VBAC

After having a c/s with an inverted t cut, I was nervous to get pregnant again. I knew that I didn’t want another c/s but finding a doctor to attend me would be really hard. I did find the perfect team right here in Korea, which saved me from having to split up my family and going back to the States. My birth team was so much more than convenience though, each person was there for a specific reason and each person was there in their own perfect capacity. I truly did have the best birth team possible in Korea and most likely Stateside as well. I am very sure of this.

Graham and I were already in Seoul at my friend/doula’s apartment, where I planned to birth. We live two hours from Seoul and the nearest hospital is about 45 minutes away and my OB and I agreed that was too far away in the event of transfer since I was planning to have a(n) HBAC (home birth after cesarean). We came into the city on the 15th, my estimated due date to await baby Fuller’s arrival. My husband was out in the field for an exercise and waiting to get the call to join us. He was 2.5 hours away minimum which made me nervous. In hindsight that is really really funny.

On Thursday, July 22nd I began having prodromal labor: start and go labor, regular then irregular contractions, no contractions, ‘false’ labor, etc. I also began losing my mucous plug. I called Josh to let him know and he decided to go ahead and make the trip to Seoul. Even though we weren’t sure when labor would really kick in, we knew it would be soon, especially since I was 41+ weeks at that point. He got in that evening and Josh, Graham and I checked into the hotel on post to get some private time as our last few days of a family of three. The next two days were spent hanging out, playing with Graham and doing lots of walking. I continued to have the prodromal labor until Friday night.

Friday night at 1am, I was woken up by a contraction that was not like the prodromal ones. It was ‘real.’ I layed there thinking I should ignore it and go back to sleep. Three and a half minutes later, I had another one. Then another one the same interval. I went to the bathroom and realized they weren’t stopping. Graham and Josh were both sleeping so I got on Facebook and started what would end up being a live feed of the birth until the end. I never planned on doing that but it helped me cope for many hours of the labor and once I couldn’t do it anymore, my husband and Karen (friend/doula) took over.

For the next 2.5 hours, I had contractions 3.5 minutes apart. I started to get the shakes and decided to text Karen and let her know I was thinking about coming back to her apartment. I also woke Josh up. It took about an hour and a half to get ourselves back to Karen’s and thankfully, Graham went back to sleep for a few more hours. I continued to labor all morning. I also had bloody show and knew it was the real deal.

Around lunch time or so my labor seems to space out. The contractions went down to 7-8 minutes apart and I was mildly annoyed. I knew it was because the baby was trying to get into a better position and just went with it. I made sure to eat and drink and I took a nap between the contractions. After that, Karen did a maneuver on me called a hip lift that we learned from the Pink Kit and I had immediate results. When she did it, I felt my pelvis open and there was an obvious shift in the baby’s position. Karen felt the movement too and she was only touching bony pelvis. As soon as I stood up, my contractions kicked back in stronger than ever. They were very intense compared to my labor with Graham. I had no back or hip pain but had intense cervical and lower uterine pressure, so much so that it caught me off guard and I found it overwhelming at times. I listened to my Hypnobabies tracks the entire time and it really helped me focus if I began to struggle at all. A few hours later I was able to nap between contractions some more and it really helped since I had only had four hours of sleep the night before.

Karen and I had discussed when to call Dr. C and I just felt like that even though I was definitely in active labor, it wasn’t very progressive and I didn’t want to have the pressure of a bunch of people there just yet. Little did I know that my med team (Dr. C and MW1 and MW2) would be the least pressure I’d encounter! We did call them around 7pm to let them know we were ready for them but that they didn’t have to be in a hurry. They arrived around 9pm. They checked the baby with a portable contraction/fetal heart tone monitor for about a half and hour and she was doing perfectly. My vitals were great as well. Everyone retreated to the kitchen and living room and gave me my space to continue to labor. Karen and Josh alternated helping me and keeping me company. At some point before the med team arrived, Karen and Rachel (another doula friend of ours that came by to help out evening #1) got the pool filled and I got in. I love it.

Around midnight I decided that I wanted a vaginal exam. I am not a fan of routine exams and my team knew that if I wanted one that I’d ask so no one ever offered. Rosa (MW1) checked me and said I was complete, 10cm and 100% effaced. I was floored that I was complete and excited too because I just knew that I’d be pushing soon and would be done! Then Rosa said that the baby was still a -2 station which is high in the pelvis still.

Because of the work I did with the Pink Kit and and the time I had spent discussing my birth history and pelvic shape issues with Gail Tully, the midwife that runs www.spinningbabies.com , I knew that I had some things to contend with and work through. I knew the entire labor that these things were why the labor had been somewhat funky with the spacings and with the baby being high. I also knew that if I could get the baby to descend into my pelvis that there was a very strong possibility that I’d push her out. The trick to this would definitely be getting the baby to descend.

Rosa began working me in different positions to aid descension. The first was walking while doing abdominal lifting in between contractions. I did this for 30 minutes. The she had me swaying my hips between contractions for 30 minutes. Then she had my so a side lying position in the bed for an hour. This was nearly torture. The rest of the birth team slept except Karen and Josh. My contractions were at the strongest intensity that they had been the entire labor at this point and laying down in bed on my side but while also squishing the left side of my belly into the bed (to force the baby out of a left occiput transverse position) was torture. Karen and Josh had to talk me through every moment of it and the last 20 minutes made me want to scream at both of them. And I did along with many choice cuss words that would embarrass some people but I managed to do the hour because of those two and it did help the baby move so it was worth it in the long run.

That said, that hour was so incredibly difficult that I lost my control and focus. Josh went to take a nap while Karen stayed with me. I got back into the birth pool and tried to refocus and get my control but I struggled. I told Karen I was done and I ready to go to the hospital and I didn’t care about a VBAC any more. I wanted an epidural and some sleep and if that didn’t work, fine. She looked at me as if to say ‘everyone else is asleep’ and I glared back ‘then go wake them up!’ But what I said out loud was “I’m so tired and I need to sleep” and she responded with “so sleep then.” She didn’t pity me or baby me which is what I wanted. She was blunt and she wouldn’t let me jump of the ledge I was so desperately trying to escape from. It pissed me off but I do mad way better than I do upset or pity so it worked and I went to sleep. For two and a half hours I slept in the pool. My contractions had spaced a bit, maybe 6-7 minutes apart and I did wake up to work through them and then I went back to sleep. Karen slept on the bed next to the pool.

When we woke up the sun was coming up and I puked and ate, in that order. Rosa did another exam and said that the baby was still at -2 but that her head had moved to an OA (occiput anterior, optimal for birth) position so we were all encouraged that things would start moving. My water had not broken either and the bag was bulging out in front of the baby’s head. I wondered then if they would want to break it and analyzed how I felt about it. I didn’t like the idea but felt like something needed to happen. No one said anything about it.

Because of the nap and the food, I felt much better. I was still worried that I didn’t have the stamina to continue when my labor kicked back into high gear but I was beginning to believe that maybe I could do it. I had more energy, now I just had to find a rhythm. Karen and Josh rewarmed the pool and I got back to work. I labored in positions that made my pelvis feel open. Mostly I stayed on my knees while holding onto the side of the pool. Around lunch time, Dr. C told me they were going to go eat in shifts and that when they were all back that we’d discuss rupturing my bag of water. I had been at 10cm for about 12 hours that we knew of at that point and since the baby still was’t descending it seemed like something worth exploring.

They (med team) were all back by 2pm. They discussed what they though amongst themselves then Dr. C came to talk to me about it. Since the head was in a better position he thought that if he broke my water that the more intense contractions that would create would push the baby down farther into my pelvis. He was blunt and honest and said that he didn’t know if it would work but if it did hopefully I’d have the baby soon (music to my ears since I was 36 hours into it at that point) or it wouldn’t work and we would go to the hospital to explore other options. I agreed with him and gave him the go ahead.

They wanted to do a half our of monitoring first so we did and baby looked great. It was about 4pm when we were all ready to rupture the membranes. He wanted to break the water during a contraction so that the force of the contraction would bring the baby’s head down and prevent cord prolapse since the baby was still high in my pelvis. Rosa did the job and wow did i ever have some water! It just poured out. The baby’s heart rate jumped up to 180-190 for a bit so they gave me oxygen and had me lay on my left side. I had a contraction and more water poured out and then I had another contraction and my body pushed with all it’s might in the most uncontrollable way that I have no words to describe it. I looked at Dr. C and said, “I pushed!” and he said “I see that!”. They had me side lie for about 20 minutes longer and continued monitoring and the baby looked great so I was given the go ahead to get back into the pool.

The pool made everything better. I was ready to do it. I pushed when my body said push. I was loud and I roared and grunted and made noises that I never imagined. I remember Karen saying to be a lion and thought it was funny even though I ignored her. I pushed spontaneously for about two hours before I asked Rosa to check the baby’s station. The baby was at zero which was improvement but I knew I still had a ways to go. Rosa made sure I was swaying my hips and changing pushing positions at interval. I also got very serious about pushing and began bearing down as hard as I could on top of what my body was doing. It just seemed like I should. I was exhausted and had been pushing forever and was so ready to be done with birthing! After a bit, I could feel the baby’s head just inside and that gave me a lot of strength. I was oblivious to the world around me. I knew Graham was in the room and he seemed ok with my roaring. Josh said that he said ‘ow mama’ a few times and ‘oh shit’ more than a few times as that was my cuss phrase of choice. After the three hour mark of pushing I knew the baby was really on it’s way out. I felt fierce and determined. Everyone was focused on me and I didn’t care, I was happy and loved every single person present and so grateful that each of them were there for that moment. I soon realized that the baby’s head was crowning and I yelled “OH ring of fire, that’s sucks!” and I thought about how many times I told a client that ‘you can do anything for a minute!” and it made me want to slap myself and hug myself at the same time! In the next push, Dr. Chung reach down to help slow down the baby’s head and I really felt the stretching then. The next push I bent over on hands and knees and Josh got prepared to catch the baby from behind from outside the pool (I didn’t want him to get in). Dr. C and Rosa moved to the backside with Josh and I pushed what felt like a huge rock. Dr. C told me when to push and when to breath through it and not push. He has a 70% no tear rate so I told him I would listen and do exactly as he said. In fact, when I realized the baby was crowning, I asked him if it was time to listen to him which got some laughs. The next push brought the head all the way out and that was the hardest thing I think I have ever done. I waited until the next contraction for push again and Josh said that she opened her eyes and mouth and moved her head under the water. The next push brought her shoulders out one at a time which I felt every bit of then her body just squished out which kind of felt like a reverse vomit or something equally strange. I looked over my should in that moment and saw Dr. C and Josh both with outstretched arms and the next thing I knew they were trying to pass the baby back under my legs to me. I sat back in the pool and was somewhere between “OH MY GOD I JUST HAD A VBAC” and “OH MY GOD, I’M DONE!”. The very first thing I did when they handed me the baby was lift her leg and then say “I knew you were a girl!” It was an amazing moment. Karen was crying and saying “you did it! you did it!” and Josh was tending to Graham because as soon as the baby popped out he lost it. I sat back in the pool and stared at my baby girl and just couldn’t believe what had just happened! I had a perineal tear that wasn’t bleeding so we decided not to bother with stitching and opted for resting with my legs closed for a week or so instead.

The amazing thing about my birth is that Dr. C was so incredibly comfortable and confident. He was confident but not cocky. He listened to Rosa, who is more experienced than he is but he still made the call when it came down to what he felt was best. He discussed everything with both me and my husband and Karen and I ultimately had the final say in every aspect. There were no time limits, no unwanted interventions, lots of privacy. They did monitor regularly but were not over bearing and were unintrusive. Rosa is probably one of the most experienced home birth midwives in Korea. She is a CNM who worked in a hospital for 10 years before doing home birth. She also runs a birthing center. Dr. C respects her and listened to her and she did exactly what I wanted her to do when I asked her to join the birth team which was help me deal with positioning issues. I knew going into my birth that I have pelvic shape issues that would made birth more difficult and that lended a hand in what was Graham’s c/s birth. I wanted the best and she brought it. Dr C told me later that adding her to the team was the perfect choice.

I was 10cm dilated with an intact water bag for 20 hours or so before any intervention. Dr. C told me today that he didn’t feel intuitively about doing anything earlier than what we did. There was a chance it could have cause more harm than good and by waiting we were able to increase the chance for best case scenario. I agree wholeheartedly and adore him for his patience and do not know of another care provider that would have been comfortable doing that. He said that the baby was fine and I was ok so waiting was what was needed. When we did break the water, it worked exactly as it should have. I am in awe.

After the birth, I had some heavy bleeding. It wasn’t to the point of hemorrhage but it was concerning. The placenta did not detach either. Afte two hours and still bleeding and still no placenta birth, Dr. C told me he wanted to take me to the hospital. He felt like everything was ok but he wanted me monitored over night and wanted blood work done. Josh and Karen got us together and Karen took the baby. I was weak and needed a lot of assistance getting out so Dr. C and Danica (MW2 who was also great but more of a Dr. C/Rosa support person than so much for me). We got checked in to the hospital and I ate some food that Karen packed up for me and Josh took care of baby Stella. Once settled in, i was able to sleep for about 5 hours until Stella was ready to nurse. She nursed like a champ and slept all morning on my chest. Josh go to sleep for 5-6 hours in the morning.

Once morning came, Dr. C dropped by and checked me out. The bleeding was at a normal level and my labs were fine and other than being weak I was ok. The placenta was still attached but in the absense of any indication to do so (such as infection or bleeding), Dr. C is comfortable with waiting to see if it will come out on it’s own. He doesn’t want to have to do a manual or surgical extraction. So orders are bed rest and daily check ups and blood work and infection monitoring and we will reevaluate the situation daily until either it comes out or he takes it out.

None of the after birth stuff has affected my birth though. It was exactly the birth I was supposed to have and I would do it again five times over if it meant not having to recover from another c/s. I am still in shock and awe and amazement and I can’t believe I did it! It was the hardest thing I have ever done and I’m so grateful to my team, they were perfect. I know I’ve left out important details and that this hasn’t been proofread but I had to get it out. Enjoy! I’ll edit later.

EDIT: The placenta came out a few hours after I posted this birth story. I went to the bathroom and couldn’t pee much but could tell my bladder was full. I stood up and felt a very heavy weight on my bottom and I looked in the mirror and saw the placenta bulging out. I didn’t push but when I spread my legs it plopped out onto the floor all at once. My bladder immediately released and for a second I couldn’t tell what was going on and was afraid that I was bleeding. I realized what happened and calmed myself before yelling for Josh. I told him what happened and he was super excited then I told him how bad it smelled. It was TERRIBLE and like meat that had been left out for a few days. He peaked in to look at it on the floor. I had him go wake up Karen (who of course, took a picture) and she called Dr. C. Since I wasn’t bleeding he decided to wait until our planned check up for the next morning. My bleeding has been a bit heavy but still normal, so I’m not concerned and I’m sure he won’t be either.

I feel SO much better physically. I immediately felt different when it came out. I did get weak and woozy and had hot flashed but the pain I was having in my bottom was gone. I’m still sore but i can actually move around with little assistance now. My body knew that the placenta didn’t belong in there any more but I guess it just needed time to release it. I’m so glad Dr. C was patient and didn’t force manual extraction. Again, everything about this birth was exactly as it should be and I’m so happy there was not a surgical ending to my beautiful VBAC. The placenta was born 29.5 hours after my baby was. Dr. C told Karen “Time. She needs more time. With Amy, everything takes more time.” He knows me so well!

Our baby girl’s name is Stella Rose. I didn’t know Stella meant “Star” when we chose it but it’s so appropriate because for our VBAC the stars had to align on so many levels. We chose Rose as her middle name to honor our Korean birth team. MW1′s Korean name is Kim Oak Jin (Oak Jin is her first name) and there is no English translation for that name so she chose Rosa as her English name. We thought that by choosing Rose for Stella’s middle name that we were acknowledging our medical attendants and their dedication, hard work, patience and confidence in our birth. Plus, Hwan Wook (Dr. C’s first name) didn’t flow very well with Stella!

Stella Rose
9lbs 2 oz
21.5 inches
15 inch head