Disclaimer: All information and resources in this article are based on my personal research and opinions unless otherwise noted. I wish to contribute to the VBAC conversation from a patient point of view; I am not a doctor. My educational background is in English-Creative Writing. Please consult health care professionals before making decisions about your health. 

When I tell friends that Ceci , our second child, was my VBAC baby, I usually find a confused expression on their face or they ask me point-blank, “What is that?” to which I answer, “Vaginal Birth After Caesarian Section” in an even tone. I’ve had practice saying “vaginal” now for eleven years. At first, it felt a little embarrassing or like I was supplying information the questioner wasn’t prepared for. Then, I got over it. It’s part of being a positive force in the world of women’s health and it’s why I write articles about subjects I wish were discussed more, like maternal incontinence. 

If you’re reading this, I’m guessing you’ve either had a VBAC, are considering having a VBAC, or know someone who has had one. Now that I have thirteen plus years spaced between my traumatic and unplanned C-Section and my emotionally healing VBAC I feel I can finally share my experience with people who are interested in possibly pursuing this option. Let’s dive into my backstory and then I’ll give some details about what you can do to further research your options if VBAC is something you’re considering. 

My VBAC Story Starts With a Traumatic C-Section Story

Close to Christmas, I went into labor. I was terrified and denied I was in labor until my water broke many hours after labor started. At that point, David helped me waddle into the car and go to the hospital. I was at almost 8cm (out of 10cm) dilated and our son’s head was stuck in the brow position, meaning he was looking skyward instead of chin tucked in. My doctor was on vacation and a very pregnant doctor came in to introduce herself and break the news that we should consider a C-Section. Otherwise, we risked breaking our baby’s neck during vaginal birth. 

Neck Breaking. That’s all she had to say. We agreed and looking back, I do believe this was the right decision. After our son was born, I second-guessed myself, but the fact of the matter is either way he’d have been born, there would’ve been trauma to both my body and his. 

When we got to the hospital, I was in so much pain that I screamed for drugs. I let loose like they do on TV. And, the nurses shushed me for making such a scene. I got doses of pain medication and my thinking became blurry as the pain receded. David got suited up in scrubs and they wheeled me to the OR. I was not restrained. An anesthetist hooked me up to an epidural and rubbed a piece of ice across my huge belly. “Can you feel that?” he asked. “I’m not sure,” I replied, “Can you do it again?” At least that’s how I remember it. But, he shushed me as the nurses had. “If you don’t know, then you didn’t feel it.” 

The thing was, I did feel the ice. And, my drug-blurred brain wasn’t doing me any favors. The doctor started making the incision. I could feel the scalpel cutting into my flesh. I imagined people enduring torture and told myself if they could do it, so could I. It felt like forever before my brain caught up and sent me the signal that we were in an OR, this wasn’t torture to be endured, and I should speak up. I don’t remember what I said but I do remember reaching under the curtain trying to grab the scalpel and make it stop. 

David saw what was happening and got the doctor’s attention. She was shocked and sternly told the anesthetist to fix his mistake. As he upped the dose, it worked, but I was in another world, one of PTSD, terror, torture, and knowing I was about to have to take care of a baby who caused this pain, followed by guilt because it wasn’t our baby who caused the pain. And, was it my fault for taking medication during pregnancy, for going to the hospital too late in labor? My brain spun as the doctor made precise incisions. My scar is barely there — she did an excellent job. 

And, then it was time for our son to be born out of this slice in my abdomen that I couldn’t see. The doctor tugged to free him and he stayed firmly inside me. Another tug. And, the third, he was free. She’d had to dig her heels into the ground and pull with all her strength. She seemed to also be suffering a case of trauma — after all, she too was pregnant. 

Our son scored well enough on the Apgar test and they wheeled him off and David left and I was all alone in a room full of steel — wounded, weak, and scared. 

Many months later, the doctor who delivered Jaden and I found ourselves at a restaurant unexpectedly attending the same dinner party and discussing our deliveries. Mine had traumatized her as I’d thought. She ended up also having to have a C-Section. It was cathartic to have this unexpected conversation.

Recovery took weeks, months, years. There was emotional trauma beyond the physical toll of the unplanned C-Section. I share this backstory with you to illustrate why it was that I was so adamant about birthing our second child by VBAC. I didn’t want to endure unnecessary suffering and pain and didn’t want to put our baby through any trauma either.

It Wasn’t Easy Finding a VBAC Doctor, But it Was Worth It

Jaden was born in late December of 2007. David was ready to talk about having another child long before I was prepared for entertaining the thought of it. I needed to first find a way to heal. 

After the C-Section, I’d been unable to breastfeed. In my mind, this meant I failed at the most basic task of mothering. I no longer believe that and wish there wasn’t so much judgment of parent’s choices around breastfeeding. I also began having intrusive thoughts, which is part of Postpartum OCD (PPOCD) but was something I didn’t know about then and is only really coming into the postpartum discussion more prominently in the 2020s. Aymes Sarah has written a book about this subject, which is forthcoming. It took many years for me to finally obtain an OCD diagnosis to go with my Generalized Anxiety Disorder and Depression diagnoses. Medication, therapy, writing, and other modes of healing have helped me navigate the mental illness aspects of my life.

I knew I wanted another child as much as David did, but I was terrified of going through C-Section trauma again. Very few doctors had the insurance to practice VBACs where we lived (Oklahoma, US) in 2010:

“From 2005 to 2015, the main malpractice insurance company in Oklahoma, PLICO (Physician’s Insurance Company of Oklahoma), refused to cover care-providers who allowed their patients to have a trial of labor after a previous cesarean.” — Bethanie Verduzco, Tulsa Kids

The restrictions were lifted in Oklahoma in 2015, allowing many more doctors to offer VBAC services. From what I understand, this varies from state to state and country to country. Finding a local resource group is a good place to start if you are interested in pursuing a VBAC. 

Some VBAC Basics

I don’t remember how I even learned about VBACs, to be honest. I’d guess it was either from a local mom’s group or from a source like Babycenter. I do remember that I was led to the online resources that ICAN (International Cesarean Awareness Network) provides. ICAN describes its mission:

The International Cesarean Awareness Network is a non-profit organization whose mission is to improve maternal-child health by reducing preventable cesareans through education, supporting cesarean recovery, and advocating for vaginal birth after cesarean (VBAC). — ICAN

All the warnings against VBAC mentioned the risk of uterine rupture:

“A possible rupture: A rupture of the cesarean scar on the abdomen or the uterus itself is rare. If a rupture does occur, most often there are no significant complications for you or your baby. Very rarely, however, a rupture can result in serious harm to both you and your baby. Your obstetrician will inform you if you are at a high risk for a rupture. If you are at risk, it is not recommended that you have a VBAC delivery.” — Brighamandwomens.org

The Brigham and Women’s Hospital has very good basic information on the risks and benefits of VBAC. One of the reasons I wanted a VBAC was the shorter recovery period. I still deal with emotional trauma in my C-Section scarring area, though it is much diminished now. And, they were right — my vaginal birth recovery was a breeze compared to the recovery from a C-Section, which is, after all, abdominal surgery. 

Once you have decided that you want to pursue a VBAC, you will need to do some homework:

• Find doctors who perform VBACs in your town with a high rate of success. You can call and request the success rate. 
• Figure out which of these doctors accept your insurance.
• Call insurance to confirm that they’d cover a VBAC birth.

Catharsis Through Delivery

I don’t remember how I found the details for Dr. John R. Thompson, but I do remember finding that his rate of success with VBACs was very high. Because I desperately wanted a successful VBAC, I decided to go with Dr. Thompson and take all of his advice. He had a proven record. He did some things differently than other VBAC doctors, namely that he induced a week early, which is generally recommended against because it slightly increases the chance of uterine rupture. His argument was having a smaller birth weight baby would increase the rate of success.

The delivery went smoothly. We arrived early in the morning and began the Pitocin drip. I wasn’t expecting the pain that came with inducing so early in labor. I asked for an epidural when I was only 2cm (out of 10cm) dilated. It was very difficult to deal with labor pain while hooked to an IV and being told to lay on my back in bed. This part was not ideal but I accepted it for what it was.

Dr. Thompson early in my pregnancy said he didn’t understand why women choose natural childbirth when the pain is unnecessary. Although I didn’t agree, I held firm in following his advice, which was to avoid any brain-altering pain interventions and use the epidural. I was clear-headed during the entire labor and delivery and for that I’m very grateful. I’m also grateful I had the epidural since labor was especially painful and movement was so constricted.

When it came time to push, it was difficult to feel what I was doing, which is one of the downfalls of epidural use. Dr. Thompson told me I needed to push or we’d be looking at a C-Section. That, along with an episiotomy, and Dr. Thompson guiding my hand to hold Ceci’s head as she crowned moved things along.

I hadn’t considered holding my baby’s head as I birthed her as an option. Dr. Thompson’s gesture of inviting me to do so was a kindness I will never forget. My body and my baby were able to achieve a successful VBAC. It was an extremely healing experience for me, from the research, reading and self-advocating to the labor and delivery to the postpartum period, in which I successfully nursed for 10 months. At the 10 month mark, intrusive thoughts began creeping in and I made the difficult decision to go back on medication and stop breastfeeding.

Emotional Healing Through VBAC

The pregnancy with our daughter was much easier than the one with our son. I felt supported and excited. I craved healing through this VBAC experience. Intuitively, I felt this would help heal the psychological trauma that I’d undergone with the unplanned C-Section. 

I believe it was through ICAN that I discovered a book called Cesarean Voices edited by Martha Basham. I do not recommend this book for women planning C-Section birth or women who have had non-traumatic C-Section births because this book is entirely about traumatic C-Sections. For me, reading the stories of other women who’d had traumatic C-Section birth experiences helped me feel not alone and was a catalyst toward my own healing. The book description on the ICAN website states:

“In a culture where cesarean section is viewed as simply another way to have a baby, we seldom hear the voices of women whose experiences have not been so easy. This groundbreaking book answers the question “What’s so bad about a cesarean?” in a raw, honest, heart-shattering way. If you care for or about women and babies, hear these voices.” — ICAN

I also accepted help after Ceci was born. A breastfeeding friend stayed with us for a week and helped me get the hang of it while also normalizing it for the rest of our family. My mom and mother-in-law and other family members provided support. Where I had felt alone and hurt after having Jaden, I felt supported in my healing after having Ceci. 

The Choice Is Yours Whether to Have a VBAC or CBAC

One of the most healing things about having had a VBAC is that moms who are interested in also having a VBAC reach out to me because I’ve been so open about mine. I’ve had coffee shop chats, in-person chats, and online message chats about my positive experience. I’ve gotten to hear when other moms have successful VBACs. Oftentimes, moms didn’t know VBAC was an option until I mentioned it. 

Not all moms are candidates for VBACs and this is a personal choice. There’s not a right or wrong answer and I hope there is no judgment for the choices moms make. We are under a lot of pressure to make 100% “right” choices. That’s impossible. We do the best we can with the information we have. ICAN has resources for moms who have CBACs (Cesarean after Cesarean Birth) to help with resources and healing. Although their mission is to decrease the number of unnecessary C-Sections they understand that sometimes C-Sections are the best option.

Whatever you choose, I suggest reaching out to other women who have gone ahead of you with what you are doing. It helps to have the support of knowing you are not alone and of hearing about successful outcomes. 

Further Resources

VBAC (Vaginal Birth After Cesarean)
www.childbirthconnection.org

VBACs in Oklahoma: What you need to know – TulsaKids Magazine
www.tulsakids.com

Vaginal Birth After Cesarean (VBAC) – Brigham and Women’s Hospital
www.brighamandwomens.org

Vaginal Birth After Cesarean Delivery (VBAC)
www.acog.org

VBAC Education Project | International Cesarean Awareness Network
ican-online.org

The post I Had an Emotionally Healing Vaginal Birth After my C Section.  Why VBAC May Be Right For You, Too appeared first on Medika Life.

When the baby is delivered through an incision in the abdomen and uterus, it is called a cesarean delivery or C-section. Most women will have a horizontal lower abdominal incision. Sometimes surgeons make a vertical incision if a woman has an extensive past surgical history or large uterine fibroid or if there is an emergency. 

Some women will choose to have a permanent contraception surgery, or tubal ligation, with their c-section.

Why do some women need a cesarean delivery?

Some women with a history of a prior c-section will have a scheduled cesarean delivery. Some women require cesarean delivery during labor. The most common reasons for a cesarean birth during labor are unsuccessful labor and fetal distress. Sometimes during labor, the contractions fail to open the cervix enough for the baby to pass through the birth canal.

Fetal distress means that the baby’s heart rhythm is abnormal and indicates that the baby’s health is in danger. Delivery via cesarean section may be the fastest way to remove the baby from the stress of labor and also the fastest way for the medical team to evaluate the baby. 

Other common reasons for a scheduled cesarean delivery include:

1. Breech or fetal malpresentation (not head down) 
2. Twin pregnancy
3. Prior uterine surgery (myomectomy)
4. Placenta disorders like placenta previa  

What are the possible complications of cesarean delivery?

Most women will have an uncomplicated C-section. A small percentage of women may develop complications and these are usually easily treated. Potential complications include bleeding, infection, injury to the bowel or bladder, blood clots in legs or lungs, and reactions to anesthesia.

For most women, vaginal delivery carries less risk of heavy bleeding, infection, and injury to abdominal organs compared to c-section. Vaginal delivery is also associated with less risk of postoperative complications and shorter recovery times compared to cesarean delivery. However, some women may not be candidates for vaginal delivery and some women may develop unavoidable indications for cesarean delivery during labor. You and your doctor will determine which approach is most suitable for you.

How long will I be in the hospital?

Most women will need to stay 48-72 hours after cesarean delivery. Various factors, such as the reason for C-section, surgical complexity and postoperative recovery course help determine the surgical plan.

Can my family visit me?

A trusted family member should drive you to and from the hospital. Families are welcome to stay with you before and after surgery. Hospital visitor policies for overnight stays vary with the ongoing COVID-19 pandemic.

Does my procedure require an anesthetic?

Most women receive regional anesthesia for cesarean delivery. This can be an epidural and/or a spinal block. During regional anesthesia, only the lower half of the body is numbed and the patient is awake during the procedure. This technique allows the mom to be awake during delivery and enjoy the experience of seeing their newborn baby.  To place a regional block, a tiny incision is made in the lower back. For an epidural, a small tube is placed to deliver medication through the tube when needed. For a spinal block, the drug is injected directly into the spinal fluid. 

Rarely, general anesthesia is needed for cesarean delivery. This means that the patient will not be awake during the delivery. General anesthesia is used only if the regional block does not work or if there is an emergency without enough time to administer a regional block.  

How should I prepare?

For scheduled cesarean sections, at your final OB appointment, the doctor will review your specific instructions. You should also confirm the date, time, and location of the surgery. We will need to carefully review your medications and plan when the last dose should be taken prior to the surgery and when to resume medications. This is particularly important for patients taking aspirin, blood pressure medicines, and diabetes medicines. 

Your doctor should review all medication and food allergies. We remind patients to avoid alcohol 24 hours before the surgery. We also instruct patients to refrain from eating or drinking at least 8 hours prior to the surgery time. 

Please keep in mind that the hospital will perform a car seat check prior to discharge (it needs to be purchased prior to discharge). Also if you are planning on cord blood banking, please bring your kit with you to the hospital. 

The hospital will supply almost everything you and your baby will need for your stay, including gowns, pads, underwear, baby clothing, diapers, breast pumps, formula, and bottles. However, you will need to bring clothes and supplies for your trip home. Some women also prefer to bring some of their own things to be more comfortable, such as their toothbrush, comfortable clothing, and lotion.   

What happens after I check-in at the hospital?

After checking in on Labor & Delivery, you will change into a surgical gown and store your belongings. You will meet the nursing team who will provide care during your surgery. They will review your medical history. The surgical consent form is reviewed, signed, or updated with any changes. An IV will be placed at this time. 

The anesthesia team will also interview you and answer questions. Typically your surgeon will review any last-minute questions.

What happens in the operating room?

After the preoperative evaluation, the team will guide you to the operating room. You will move from the mobile bed to the operating table. Monitors will be attached to various parts of your body to measure your pulse, oxygen level, and blood pressure. Then the anesthesiologist will place the regional block. 

After the anesthesiologist has confirmed the regional block is functioning appropriately, the OR team will lay you down and adjust your position. The anesthesiologist will administer IV antibiotics through your IV. The OR nursing team will then apply an antibacterial fluid to your abdomen, trim the pubic hair if needed, and cover your body with drapes. In addition, a tube called a foley catheter will be placed in your bladder to drain urine. 

The team then performs a “surgical time-out.” A surgical safety check-list is read aloud, requiring all surgical team members to be present and attentive. One family member is allowed to be with you during the procedure and is called to your side at this time. 

The OB/Gyn begins by making a skin incision in the lower abdomen. It is typically horizontal, but sometimes a vertical incision is needed if there is an extensive surgical history, a known pelvic mass such as a large fibroid, or if there is an emergency. 

The abdominal muscles are separated and the uterus is visualized. An incision is then made in the uterine wall. This incision is also typically horizontal. The baby is delivered through these incisions and the umbilical cord is clamped and cut. The baby is given to a special team of nurses for immediate evaluation. After the baby is evaluated, the baby will be brought to the mother. 

The placenta is then removed and the uterus is sewed closed with stitches that will dissolve as the uterus heals over the next few weeks. The surgeons then confirm there is no active bleeding. If permanent birth control is planned, it is performed at this time. Finally, the abdomen and pelvis are washed in a warm saltwater solution and all the abdominal wall layers are closed. The skin is closed with dissolvable sutures or staples.

Once the procedure is complete, the surgical team completes a post-procedure review. All instruments and equipment are counted and verified. When finished, the team will transfer the patient to the recovery room.

What happens in the recovery room and postpartum ward?

The recovery room is equipped to monitor patients’ blood pressure, heart rate, and bleeding after surgery. In the recovery room, we encourage mothers to begin breastfeeding. 

You will remain in the recovery room for observation for 1-2 hours. Afterward, you will be moved to a hospital room in the postpartum ward.

Immediately after the C-section, you will need to stay in bed until the regional block wears off and you are able to use your legs.  You will need someone to assist the first few times you move out of bed.  Because the lower half of the body is still numb, the bladder catheter is usually removed the next morning. 

As soon as possible, your nurses will encourage you to move around as much as you can. You may be encouraged to get out of bed and walk after your operation. Walking helps reduce the risk of blood clots. You may feel tired and weak at first. The sooner you resume activity, the sooner your body’s functions can get back to normal. 

Your incision may be sore for the first few weeks. The nursing team will give pain medicine as needed to help keep you comfortable. 

If you want to breast-feed, the lactation consultant will typically visit to provide guidance and support. The neonatal team will be monitoring the baby’s health for the first few days of life.

AFTERCARE AND RECOVERY QUESTIONS 

What preparations should I make for aftercare at home?

You should speak with your physician regarding the resumption of exercise and sexual activity. Your doctor will also review wound care instructions. We generally recommend avoiding strenuous activity, heavy lifting, and sexual intercourse for 6 weeks after cesarean delivery. Also please avoid inserting anything into the vagina (no sex, tampons, or douching) until cleared by your doctor. 

Some mild cramping and light bleeding are expected after c-sections. You may have more cramping if you are breast-feeding.

Most women can return to basic activities in one to two weeks. Generally, we recommend patients stick to light activity only for the first 4–6 weeks. Light exercise helps your body heal and prevents some postoperative complications. Be sure to get plenty of rest, but you also need to move around as often as you can. Take short walks and gradually increase the distance you walk every day. 

You may resume a regular diet on the day of surgery. It may be helpful to prepare some meals and do your grocery store shopping and laundry before surgery. If you are breast-feeding, it is recommended to continue the prenatal vitamins to ensure good nutrition for you and your baby.

You will be given instructions to help control postoperative pain during healing. Some pain is expected for the first few weeks after the surgery. You may also have light bleeding and vaginal discharge for a few weeks. Sanitary pads can be used after the surgery. Constipation is common after cesarean deliveries. Try a stool softener and fiber supplement. Some women have temporary problems with emptying the bladder. 

Your doctor will schedule a postpartum visit 4–6 weeks after the procedure. We also schedule a wound check 1-2 weeks after delivery. At this time, the incision is inspected for appropriate healing. We also review your contraception options and evaluate for postpartum depression. 

After your postpartum visit, we recommend continuing your annual routine gynecologic exams.

Danger Signals to look out for after the procedure

Call your doctor or report to the ER if you experience:

• Pain not controlled with prescribed medication
• Fever > 101
• Severe nausea and vomiting
• Calf or leg pain
• Shortness of breath
• Heavy vaginal bleeding
• Foul-smelling vaginal discharge
• Abdominal pain not controlled by pain medication
• Inability to pass gas or have a bowel movement

What information should I provide to my doctors and nurses?

It is very important to provide your doctor with an updated list of all medications, vitamins, and dietary supplements prior to surgery. All medication and food allergies should be reviewed. Share any lab work, radiologic procedures, or other medical tests done by other healthcare providers with your surgeon prior to your procedure.

Still have questions?

Read through any existing comments in the section below and if you still need information on this procedure please do leave your questions in the comments section.

This article was contributed by MacArthur Medical Center’s Dr. Reshma Patel

The post Preparing for Cesarean Delivery (C-Section) appeared first on Medika Life.

One proven way to promote labor progress is to change positions frequently, as in every 20–30 minutes. Frequent position changes and movement during labor can help decrease pain perception, facilitate fetal descent into the pelvis, enhance the birth experience, and promote labor progress.

With all of these advantages, why are so many women laboring in one position for hours at a time? In a word, convenience.

Certain positions allow for continuous fetal heart monitoring making this convenient for nurses, and some women are more comfortable in one position after being in labor for several hours making it convenient for women.

Labor is hard work, but frequent position changes can make the difference between progress and prolonged labor. In addition to promoting movement during labor, intermittent auscultation is a great way to allow women to move frequently and unencumbered during contractions.

The American College of Obstetricians and Gynecologists (ACOG), the American College of Nurse-Midwives (ACNM), and the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) all recommend intermittent fetal heart rate auscultation for low-risk women during labor.

Over 60% of women receive an epidural or spinal during labor, but frequent position changes are still necessary and possible after receiving an epidural.

Most hospitals require continuous fetal monitoring after epidural placement, though this should not interfere with frequent position changes.

Here are five labor positions to promote labor progress, with or without an epidural.

1. Walking or Upright Positions

With current practices to decrease exposure to the coronavirus and other viral illnesses, women cannot walk the halls in most hospital systems. However, women can walk, lunge, and stand in upright positions in their labor rooms.

Walking uses gravity to help the fetus to descend into the pelvis and rotate into position for delivery. Walking and lunging enhances the effectiveness of contractions and can decrease pain perception.

After an epidural, women can sit in an upright position with the bed’s foot lowered to allow the pelvis to open. Note, this position cannot be maintained for longer than 20–30 minutes as it may decrease the effectiveness of the epidural.

2. Peanut Ball

Using the peanut ball during side-lying positions opens the pelvic outlet and encourages fetal descent/rotation within the pelvis. This body shift is especially helpful for babies that are in a persistent occiput posterior position.

Rotate from side-to-side while using the peanut ball to really promote labor progress. Women that receive an epidural should be encouraged to use a peanut ball or other positioning aid during side-lying positions for enhanced labor progress.

3. Squatting

Squatting can decrease pain during contractions, open up the pelvis, and allow the perineal muscles to relax. Squatting can be done on a birthing ball, sitting on the toilet, sitting on the bed, or with the help of a birthing partner.

Leaning forward while squatting enlarges the pelvic outlet and can promote fetal descent. After an epidural, women can sit upright with the bed’s foot slightly lowered and the legs positioned in a natural squatting position.

4. Hands and Knees

The hands and knees position during labor can decrease back pain and can significantly increase the pelvic diameter. Women in the hands and knees or knee-chest position can move freely and adjust their weight for comfort.

This position is similar to squatting and allows birth partners to perform back massages, hip squeezes, and counter-pressure on the lower back. Leaning forward on hands or elbows will enable women to rest in between contractions, which can be ideal during the pushing stage.

The hands and knees position can be modified for women with an epidural, though most women will need help in rotating to this position and maintaining continuous fetal monitoring.

5. Asymmetrical Kneeling

While in hands and knees or in a forward kneeling position, bring one leg up. This movement is similar to using the peanut ball but in an upright position, optimizing contractions’ strength and opening the midplane pelvis.

This position uses gravity and pelvic rotation to enhance labor progression and fetal descent. Asymmetrical kneeling can be done after an epidural with a birth partner or nurse’s assistance to maintain safety.

These positions are safe and effective, though they may not be appropriate for every woman. Discuss labor position options through the shared decision making and be open to suggestions.

Remember, the most important position during labor is one of patience while trusting the process!

The post 5 Labor Positions to Help Your Baby Come Out appeared first on Medika Life.