VBAC at home

Hours after my first catch I was called again to attend a home birth of a woman who had previously had a caessarian for a baby deemed large for dates at 38 weeks he was 4.5kilos. http://www.childbirth.org/section/VBACFAQ.html  She an her husband were Catalan and spoke no English. I have to say that I had worried about not being able to communicate well enough but I consoled myself in the fact that I was only the 2nd midwife and I did not have to take the lead. Her waters had gone at 10pm and at 11:30 pm I arrived to the 9th floor of a super modern Barcelona skyscraper. This couple were known to my colleagues as the black couple, not because of their color but because they liked black. They always wore black and the decor in their house was very modern gothic/emo. I arrived to the sounds of Anthony and the Johnson’s and entered to a dark room, which I later discovered was wall to wall windows! The view was spectacular.

My colleague was already there and our client was making good progress. My colleague had not examined her as she usually diagnosis her ladies by observing the purple line http://books.google.es/books?id=PvRo4rJ1UEUC&pg=PA77&lpg=PA77&dq=the+purple+line+assessing+dilatation+without+VE&source=bl&ots=gCBP1eF_no&sig=3eEA5KIA37oJrV-NX8i9wlC6f78&hl=en&ei=gevfTMW7O8XLhAedtsT4DA&sa=X&oi=book_result&ct=result&resnum=8&ved=0CEwQ6AEwBw#v=onepage&q=the%20purple%20line%20assessing%20dilatation%20without%20VE&f=false

and estimated our client was about 7cm dilated.  I went through and said hello. I sat through a few contractions with her and observed her methods for coping. She was doing well and I left her and her husband to it. This lady was the client of my colleague and I was there as the second midwife. As I had recently been to a long birth I was grateful for this as I was very tired and had had little sleep. My colleague advised me to get some rest as our client had a way to go and this I did. An hour later our client moved to the bath, for a change of energy and things began to progress a bit quicker. She began to feel pushy, but my colleague was not convinced she was fully, so did a quick ve as in the candle lit bathroom it was not possible to see the purple line, even with a flashlight. The VE confirmed she was not quit there yet and I took over supporting her encouraging her to breath through her contractions. I am unsure how long we did this but I believe it was at least 40 mins.

After 2 and a half hours in the bath and a bit of tag team supporting between myself and my colleague, our client was fully dilated and I could see gaping begin. We encouraged our client to go with her body and push when she felt the urge. She began to freak out a bit with the sensation so we encouraged her to feel her babies head as it moved out, this excited her and allowed her to focus on her pushing him out. She delivered her babies head very slowly, slower than I have ever seen actually but at 3:15 am the babies head was born. A full 15 passed before the body followed and although I like to be hands off in my delivery, I found that with this one I needed to really help this baby out, he was born at 3:30 pm to the sound track of blade runner http://www.last.fm/music/Vangelis/Blade+Runner, he weighed 4.4kilos and his mother did not sustain a tear, super cool! My colleague told me that this was because he had been born so slow.

Mother, Father and baby were a beautiful sight to behold. I took awhile for her placenta to come as well, but it came in its time and after making a refreshing placenta smoothie for the parents, we tided up a bit and went on our way. Job well done by all.

Although I was super tired, this was a really enjoyable birth. I had had my initial doubts about delivering a vbac at home, as there are very real risks, but I trusted my colleagues experience. I was aware that I was taking a back seat to the whole process, but grateful to my colleague who gently encouraged me to deliver. Looking out at the sunrise as the beautiful view of Barcelona unfolded in front of me http://www.google.es/imgres?imgurl=http://www.michaelleadon.com/gallery/spain2002/sunrise1.jpg&imgrefurl=http://www.michaelleadon.com/gallery/spain2002/architecture.html&usg=__lVEfpNSxuBklmV0UkhE1G8TA2QI=&h=958&w=1588&sz=49&hl=en&start=0&zoom=1&tbnid=bGW-zuQEYGlXxM:&tbnh=118&tbnw=196&prev=/images%3Fq%3Dimages%2Bof%2BBarcelona%2Bsunrise%26um%3D1%26hl%3Den%26client%3Dfirefox-a%26sa%3DN%26rls%3Dorg.mozilla:en-GB:official%26biw%3D1280%26bih%3D609%26tbs%3Disch:1&um=1&itbs=1&iact=hc&vpx=122&vpy=93&dur=0&hovh=174&hovw=289&tx=177&ty=57&ei=qPTfTKyPOJG7jAfmqszGAQ&oei=qPTfTKyPOJG7jAfmqszGAQ&esq=1&page=1&ndsp=15&ved=1t:429,r:0,s:0 I felt deep gratitude for the privileged of being allowed to share this experience with our client. She had made her dream come true and as she was able to birth her baby herself. How amazing.   

Cool tunes of the night and vbac info