Resident Blogger Susanne did not have an easy time of her fourth pregnancy. Suffering from hyperemesis gravidarum (severe pregnancy sickness) in the early weeks, she endured the uncertainty throughout the third trimester of whether her baby would have to be born prematurely due to IUGR, a condition fortunately picked up through the use of customised growth charts and extra scans.
IUGR, which stands for intra-uterine growth restriction, can be indicative of a problem with the placenta which prevents the baby from receiving the nutrition it needs, and is one of the biggest risk factors for stillbirth. Babies suffering from IUGR often have to be delivered early and can experience problems associated with being born very small.
Susanne’s emotions were further complicated by her desire for a VBAC, a vaginal birth after caesarean, which became less and less of an option as the pregnancy became more complicated. Having already undergone three previous sections, Susanne knew from the start it would not be an easy road. Here you can read about Susanne’s difficult journey, which happily culminated in the safe delivery of little Elsie Rose at 37 weeks.
Susanne blogs at www.ghostwritermummy.co.uk where you can read more about her experience with HG, IUGR and the subject of VBAC.
Back in May, I decided I wanted a VBAC. Since discovering I was pregnant, I always kind of knew this was what I wanted to do when it came to the birth. But I remember consciously making up my mind and speaking it aloud.
It was out there. My intentions were known. No going back. I wanted a VBA3C. A vaginal birth after three c-sections. A ‘natural’ birth. A ‘normal’ birth.
This was met with mixed responses. Sensible responses from people such as my mother (“Just wait and see what happens. I’m sure it will work out the way you want it to in the end.”); positively positive responses (“Of course you can have a VBAC! Your body was made for it!”); horrified responses from people such as the first midwife I saw (“After three previous sections? There isn’t a doctor around who will support you in that!”); and vaguely amused responses (“Why would you want to do that? Don’t you know the risks?!”).
Yes. I knew the risks. I joined a Facebook group filled with women who advocate VBAC and natural birth. Women who were successfully getting their VBACs after 3, 4 and even 5 previous c-sections. I knew the risks of scar rupture existed, but I also knew they were very small. So I weighed it up and weighed on in.
In the group, lots of women speak of ‘not being allowed’ a VBAC, according to their doctors. These women routinely reply with the standard mantra
Your body, your decision.
and it kind of stuck throughout my pregnancy. Whenever I was faced with the question over whether or not ‘they’ would let me birth my baby the way nature intended, I told them the same thing. This was MY body and MY choice.
My choice was to deliver my baby myself. To hold her against my skin moments later and to finally finally understand what it was all about when women spoke of feeling empowered, head over heels in love and like they could conquer the world. To be able to carry a baby to term and to deliver that baby without medication, medical assistance and sterile lighting. To do it the way my body wanted to. That was my choice.
Another regular line heard in the VBAC group came with birth announcements. Babies are born, eventually, after much discussion over how and when and with what interventions, and they are duly announced in the group. We are all waiting to hear. Did she get it? So the opening line of most announcements are either I got my VBAC! followed by wonderfully uplifting words of encouragement to the rest of us still waiting and hoping; or I didn’t get my VBAC but… usually followed by details of whether or not the surgeon ‘allowed’ skin to skin, or whether or not the lady laboured before the decision was made to perform a repeat c-section. So here is my announcement.
I didn’t get my VBAC.
But I wanted to. I really, really wanted to. The decision was taken away early into my third trimester and to cut a long story short, my VBAC was pipped to the post by IUGR. Growth restriction meant my baby was too small for a ‘normal’ delivery. Growth restriction meant that my pregnancy had to end early, and a c-section was the only option since my body (scar) wouldn’t be able to handle an induction. Growth restriction meant my announcement in the group wasn’t written the way I’d intended it to be written back in May.
It matters that I didn’t get my VBAC, because I went on a journey to get it. Self-acceptance. Self-awareness. Confidence. I actually, after all these years, believed I could do it. Birth my baby. Scans showed that she was head down, facing the right way and ready to go. During surgery I was told that there was practically no scar tissue at all after my 3 sections. My surgeon was amazed, and told me that my body was in perfect condition for carrying and delivering a baby. And, strangely, that was the nicest thing anyone ever said to me in a long time.
I didn’t get my VBAC but I got something else instead. I got to the end of that path and saw that I could do it.
Follow Susanne on Twitter @Ghostwritermumm