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Cholestasis, Emergency C-Section, IUGR Induction w/ Successful VBAC


Rafa, October 2017: Emily was diagnosed with cholestasis at 35 weeks, and as a result her midwives scheduled her for an induction at 37 weeks. She was induced with Cytotec over a period of 24 hours. At the end of the 24 hours, the baby’s heart rate started to drop. She was taken to a pre-op room for monitoring where it was quickly determined that the baby was not tolerating the induction well and she needed a C-section. The doctors put her under general anesthesia because she had just eaten (due to an outdated, not-evidence-based hospital policy). She met her son about two hours after he was born. 

Joaquín, July 2021: Emily really wanted a VBAC after her traumatic C section birth. Around 25 weeks she learned that her baby was measuring small, in the 11th percentile. His percentile continued to drop and he was diagnosed with intrauterine growth restriction. At 37 weeks he was measuring in the 4th percentile. As a result, Emily was scheduled for an induction at 38 weeks. This time she wasn’t eligible for cervical ripening meds like Cytotec so she was offered a Foley balloon. After 48 hours, 3 different Foley balloons, an epidural, and some Pitocin, she had a successful VBAC.

IUGR birth story VBAC

Emily Taylor Bio

Emily lives in Northeast Washington D.C. with her wife Sofia, her sons Rafa and Joaquín, and their many, many houseplants. She works as a product manager for an education tech company. Emily loves baking projects, swimming laps, city adventures, and that 8 p.m. moment when both kids are finally asleep. She dislikes diet culture, the American healthcare system, and when people put bananas and melon in fruit salad. Feel free to connect with her via email at tayloremily2@gmail.com, especially if you live in the DC area and are looking for mom friends!

Resource

Evidence Based Birth

Premama Wellness

Today’s episode is sponsored by Premama Wellness. Premama creates doctor-backed supplements that support every stage of your maternity wellness journey. From balancing hormones, to trying to conceive, pregnancy, postpartum recovery, and breastfeeding nutritional support. All Premama supplements are gluten-free, non-GMO, vegan or vegetarian, with no additives and no synthetic flavors. Discover why moms (and dads-to-be!) trust Premama wellness for their nutritional support by visiting Premamawellness.com. You can use the code BirthHour25 for 25% off your purchase!



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