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Insider’s Tip on How to have a Great VBAC

Posted January 4th, 2012 in Birth Doula in Fresno, C-Sections, Fresno Birth Doula, Fresno VBAC, Uncategorized, VBAC by Kathryn DiPalma

Insider’s Tip on How to Have a Great VBAC

Very good information from Gloria Lemay’s blog.

Posted on October 9, 2009 by gloria

The following is a post I sent to the ICAN (International Cesarean Awareness
Network) list. It is very, very important information for ALL birthing women
and can make all the difference in a VBAC birth. Read it carefully, copy it,
send it to your clients. One of the ICAN women replies to my post at the
end:

Subject: ICAN: Tip for birth

I wanted to write to those of you who are pregnant to tell you something
that has been running through my mind all day about how you can be
successful with your VBAC births. Many births begin in the night…. woman
will get up to pee, feel her membranes release and then an hour later begin
having sensations fifteen minutes apart. Because we think of birth as a
family/couple experience, most women will wake up their husbands to tell
them something’s starting and then, probably because we all hope we’ll be
the 1 in 10,000 women who don’t experience any pain, we start getting the
birth supplies organized, fill up the water tub, etc. I have seen so many
births that take days and days of prodromal (under 3 cms. dilation)
sensations and they usually begin this way. The couple distracts themselves
in that early critical time when the pituitary gland is beginning to put out
oxytocin to dilate the cervix. Turning on the light, causes inhibition of
the oxytocin release. Many couples don’t call their midwives until they have
sensations coming 5 minutes apart at 7:00 a.m. but they’ve been up since
midnight timing every one of the early sensations. If they had called their
midwife at midnight she would have said “Turn off the light and let your
husband sleep as much as possible through the night. You, stay dark and
quiet. Take a bath with a candle if it helps and call me back when you think
I should come over.”

That first night can make all the difference and yet so many couples act
like it’s a party and don’t realize they are sabotaging their births right
at the beginning. Staying up all night in the early part does two things–it
throws off the body clock that controls sleep and waking and confuses the
brain AND it inhibits the release of the very hormone you need to dilate
effectively. You know that it can take days to recover after a night of
partying or after working a graveyard shift. Don’t start your birth with
that kind of stress on your hormone system.

When you begin to have sensations, I urge you to ignore it as long as you
possibly can. Don’t tell anyone. Have a “secret sensation time” with your
unborn baby and get in as dark a space as you can. Minimize what is
happening with your husband, family and the birth attendants. What would you
rather have–a big, long dramatic birth story to tell everyone or a really
smooth birth? You do have a say over your hormone activity. Help your
pituitary gland secrete oxytocin to open your cervix by being in a dark,
quiet room with your eyes closed. Gloria Lemay, Vancouver

Pam wrote:

“I really loved what Gloria had to say here. For me, it’s all about what
went wrong at my first birth (stayed up all night timing
contractions…stupid, stupid, stupid, and was totally wiped out by morning),
and could have been improved at the second, when I lacked a place to stay
dark and quiet. I printed it out for my husband to read, and am putting it in my
file of important things to remember when labor starts, within the next
couple of weeks.”

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