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r who would allow me to have a vbac one of my biggest annoyances and frustrations was that none of these doctors were practicing evidence based medicine realizing i had no chance of a vbac at the military hospital i started looking at the civilian obgyn s in savannah i called the local birth center and two other recommended doctors from my local ican chapter who all told me no they wouldn t even meet with me so i could explain the research i found to support it the knowledge that dr tate was now only 4 hours away was always in the back of my mind but even that seemed like a crazy option my last chance was the perinatologists office who specialized in high risk pregnancies i saw the midwife my first visit and although she listened to all i had to say and agreed i should at least be allowed a chance to try she informed me that it more than likely wouldn t happen sadly all due to liability issues but encouraged me to meet with the most vbac supportive doctor in the practice when i met with him he also listened to all i had to say told me his concerns used plenty of scare tactics and said that he can t force me to have a c section and said he would allow me to have a tolac but put all these stipulations on it i had to go into labor by 40 wks couldn t be induced no pitocin and any sign of distress would be an immediate c section i left feeling like i would have to fight my way to a vbac so i called dr tate s office just to see if it was truly a possibility or if i needed to prepare for a 4th c section not knowing the logistics and knowing it was crazy to drive 4 hrs one way to see a doctor i switched to dr tate at 32 wks and never looked back it was the best choice i could make having a provider that supports you 110 is priceless and it took so many worries off the table for me it allowed me to just embrace birth and prepare myself to do what i knew deep down i could do don t get me wrong though this plan was difficult to execute and there were a lot of things i had to sacrifice but it was all so worth it my vba3c the plan was for me to go to atlanta and stay there after my 39 week appointment i figured my luck i would be one of those women that goes to 42 weeks since i d never been allowed to go into labor on my own i had no idea when it would happen i headed to atlanta by myself for my 38 week appointment thursday i had not packed a hospital bag yet and decided the night before that i should at least put a few things in a bag so as not to jinx myself my appointment went well lasted about 15 minutes and i was on my way after i got lunch and stopped at ikea i noticed i wasn t feeling so well i stopped to take a quick nap and decided i d start to head home kev had tried to convince me that i should just stay the night but i assured him it was probably just because i had been up since 4 30am and was tired an hour and a half later i had to pull over because i started throwing up my 7 yr old had been home sick earlier in the week for vomiting at school and i figured i gotten what she had i stopped for water and gatorade because i knew i didn t need or want to get dehydrated i continued on the 4 hour drive home and had to pull over three more times about half way home i started having contractions about 10 minutes apart and figuring it was because i had been throwing up i got home late showered and went to bed about an hour and a half later i woke up to pretty intense contractions that i couldn t sleep through i got up and timed them for an hour and then decided to wake kev up since they were 3 to 5 minutes apart he freaked out for a minute when he saw how close they were and was upset i waited so long but then i explained that i woke up to them that close together i called dr tate and he asked if i thought they were real contractions i said definitely but explained i d been sick all day long he said i needed to head back to atlanta just to be sure or go into the local labor and delivery and then kind of scolded me for leaving in the first place he said he hoped i knew where the hospitals were at along the way i knew if i went into the hospital in savannah i d end up with interventions i didn t want and a c section so we loaded all the kids in the car this was the one weekend i didn t have someone to take the kids kev s mom was set to arrive monday and we drove back to atlanta at 3am i had contractions 5 minutes apart the entire 4 hr drive once we got to the hospital 7am friday they went to 10 to 15 minutes apart they checked me at labor and delivery and said i was 1cm and 50 effaced they suspected i was just dehydrated and exhausted and sent me home to rest and drink lots of fluids we checked into a hotel and slept most of the day i continued to have irregular contractions and we decided to stay the night in atlanta saturday morning i felt so much better and was only having random contractions i was trying to convince kevin that i could just go back to savannah and i d be fine to come back up the following week i had so much i needed to get done kevin was worried about delivering a baby on the side of the road the entire drive up and was determined to not do that drive again with me in labor i almost had him convinced until i lost my mucous plug that morning it was then we decided i d be staying in atlanta until the baby arrived kev and the kids headed home late saturday afternoon after they helped me get settled into a hotel i had a melt down shortly after because so many things were out of my control nothing was going as planned and i was just sitting there waiting i woke up sunday morning and my feet and hands were slightly itchy i just shook it off and figured i d ask about it at my appointment that upcoming thursday i finally went to sleep at midnight but woke up at 2 45am monday morning uncontrollably itching everywhere it was the worst on my hands feet and belly i took a cold shower ate something did a kick count and then tried to get some more sleep i just knew this was cholestasis of pregnacy which is what i had with my second baby and it ended with my 1st c section i knew i had the best doctor possible to handle this situation and figured i d call around 6am i felt bad waking dr tate up at 3 30 am two days earlier and i also wanted kev to get some decent rest before he had to drive back to atlanta i was using excuses because i was so afraid this meant i was headed in for my 4th c section dr tate said i needed to head into the hospital and that they more than likely were going to induce me i called kevin so he could get the kids situated and make the trip up i took a taxi to the hospital and headed into triage dr tate had called and they were expecting me they decided to induce me because of my symptoms and previous history they ran the necessary blood work to verify the cholestasis but the main lab work takes 3 to 4 days to come back they moved me over to an l d room once the blood work came back showing my liver enzymes were elevated and that we were moving on with the induction i was trying to keep my cool but in my head i was freaking out i had been down this road before and i didn t like how it ended i hadn t changed any from my exam on friday so they used a foley bulb to help dilate my cervix it was placed around 11 45am it fell out just after 2pm they checked me and i was now dilated to 4cm and 60 effaced they started the pitocin at a 1 and decided to increase it by 1 every 30 to 45 min kev finally made it to the hospital around 3pm and things were starting to pick up i started having consistent contractions that were manageable at the moment so my doula christine headed into the hospital she arrived around 4 30pm and the pitocin was at 4 and i was contracting 3 to 5 minutes apart dr tate made his way in to say hello and stayed and visited for a bit my goal for this delivery was to have as few medical interventions as possible with the hope of avoiding a c section some of the interventions i couldn t avoid due to the induction and my history of the 3 c sections and i was okay with that i had the i v because of the pitocin and antibiotic i was gbs and was hooked up to the fetal monitor i went in hoping for a non medicated birth as well again trying to avoid the c section the one thing i told my nurse right off was that i was not getting in that bed unless i needed to be checked i feared that i d get stuck laboring in bed and then the cascade of interventions would come that was the place i labored for 42 hrs with my 1st and the 9 hrs with my 2nd and it was unbearable she was totally cool with that so i hung out at the side of the bed on my birthing ball or just standing just swaying back and forth before long things picked up and i was having to concentrate through contractions pitocin was at 6 but i could still start up a conversation once the contraction was over kev and my doula were getting hungry so they ordered food i was starving but nothing sounded good i decided i d just eat some of kev s dinner when it arrived around 7pm the dinner got there and as soon as i smelled it i decided i was no longer hungry both kev and my doula offered to eat it out in the lobby but i was okay enough that they stayed it was at this point that the labor was getting pretty intense and i really had to concentrate through the contractions and recovery of the contraction i also stopped being able to talk between them i lost all sense of time and awareness of what was going on around me and just tried to internalize what was happening the contractions were a lot closer and longer at this point my doula tried counter pressure a few times but it didn t help with the contractions all my labor pain was in the lower part of my abdomen i don t recall any back labor but maybe the pain up front was just worse we tried soothing music and that became so annoying i just needed it silent and to be left alone it was kind of funny because after i came out of a few contractions i realized my husband and my doula were just hanging out watching me things started to get unbearable and i started saying i couldn t do it anymore i got nauseous and either kev or my doula quickly asked the nurse for some zofran in my iv that stuff is heaven sent my doula also used some essential oils to help till she got back with the meds at this point i had just been leaning over the side of the bed and swaying and moaning through the contractions i d been on my feet a few hours because sitting down was to painful i was getting tired and discouraged i thought i was going to be at this for 12 more hours and i was just done i started saying out loud i can t do this i can t do this i was on the verge of freaking out both kev and my doula had been very supportive and reassuring but i was loosing it that s when my doula looked me in the face and said you are doing this and you can do this and i needed her to say that i needed her there at that moment she was my rock i adore kev and he was soooo supportive and helpful throughout this whole adventure but at that moment i needed someone who had been through this to tell me it was okay and help me realize that i wasn t going to die a few more contractions and i decided that i needed something what i wasn t sure but something dr tate was called in just before 10pm and he asked if i wanted him to check me and to see about getting a pcb pericervical block he checked me and i was dilated to 6cm i was devastated i was at 4cm when the foley catheter had fallen out almost 8 hours earlier and i was frustrated i d only gone 2cm dr tate suggested we do the pcb and brake my water i really didn t want to break my water i had heard that once your water is broken the contractions intensify and i couldn t imagine handling them plus i was worried about being gbs and not knowing how much longer i had to go before baby would be born after much discussion between dr tate kev me and my doula i agreed to the pcb and arom water being broken i got the pcb at 10 40pm and was 6cm 90 effaced 1 station dr tate gave me 20min to rest before he broke my water after he broke my water i was 7cm 90 0 as much as i wanted to just lay in the bed i got out of bed to move around per suggestion the contractions were so manageable with the pcb and i was feeling pretty good after a few contractions i headed to the bathroom and as i came out i had a few painful contractions the pcb was wearing off then i lost it i just started sobbing say hi to transition all of a sudden i had this intense amount of pressure dr tate was called back in and checked me at 11 40pm i was 10cm and baby was at 2 station violet claire mayberry was born at 11 53pm transition is no joke i can t even begin to describe the feeling and pure joy i felt i had done what i knew my body could do i was on such a high they placed her straight on my chest and i just loved on her i was fully aware of what was going on i wasn t strapped to a bed it was simply amazing i had a 2nd degree tear that had to be stitched up so we just hung out we eventually made it to our recovery room and i was exhausted recovery was 100 times better than any of my other 4 births and i really noticed it in the few weeks after things were drastically different than i d ever experienced with the others proud papa dr tate there are not enough words to describe how amazing this man is as i ve processed this all over the last 9 months i ve realized that you have to do fight for what is best for you regardless of what others think i was 110 sure i wanted a vbac this time around and believed whole heartedly i could do it i knew it was what was best for both me and the baby i d done the research to prove it this pregnancy and birth was life changing for me i ve learned so much stuff i wish someone would have told me i needed to know when i was pregnant with my first baby this journey has impacted my life and will change how i teach my daughters and sons about birth and women hood resources that helped me along this journey ina may s guide to childbirth birthing from within the business of being born more business of being born netflix medical studies http onlinelibrary wiley com doi 10 1111 j 1471 0528 2010 02498 x full http consensus nih gov 2010 vbacstatement htm https innovations ahrq gov qualitytools vaginal birth after cesarean vbac risk calculator id 3331 http www acog org resources and publications practice bulletins committee on practice bulletins obstetrics vaginal birth after previous cesarean delivery posted by katie at 1 16 pm 6 comments 3 08 2013 family pictures fall 2012 we hadn t had pictures done since we first moved to nc and were overdue for the most part everyone cooperated and we all survived here are a few of my favorite posted by katie at 12 33 pm 5 comments 11 04 2011 summer 2011 part 4 i know it seems like these posts should be done with but we did a lot of things while in az this summer it was a quick 4 weeks and we made the best of our time after we left sierra vista and all the other mayberrys we headed...
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