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VBACs Are Great…for Other People

By Erica Kain | April 2, 2009

There are a lot of reasons that we ought to try for a VBAC (vaginal birth after cesarean). Maybe if I was braver, or more determined, this would be an easy choice.

I wrote about some of the great reasons to delivery vaginally after a C-section, including a shorter recovery time and a better chance for vaginal deliveries of any future children we may conceive. Since then, I’ve been encouraged to give my child the gift of a vaginal birth and not be scared by the seemingly small odds of uterine rupture or the chance of a repeat emergency C-section.

“The literature says that VBAC is safer than most people think. I tell patients that if they come in [to the hospital] in labor, we should give it a try,” says Ron Jaekle, MD, professor of Clinical OB/GYN, University of Cincinnati College of Medicine. “VBAC is a completely reasonable choice in the right situation.”

But is mine the right situation?

I could wait to go into labor naturally and give it a whirl. The idea of giving birth without another eight-inch souvenir across my bikini line is appealing, as is nursing and carrying my baby directly after birth. Some theories speculate that women who give birth vaginally are better able to bond with their babies, due to the rush of hormones that occurs during the process.

But do I feel any less attached to my second daughter, who was born by C-section, versus my first daughter, who was born during a drug-free vaginal birth? Truthfully, not at all. And the first recovery process was more arduous than the second. I experienced extreme blood loss due to a partially separated placenta, and the subsequent anemia dogged me for months afterward.

Next: Am I at risk?


“Family Balancing”: Should We Tinker With Nature?

By Erica Kain | January 14, 2009
pregnant-boy-pgd

Istockphoto

The response to the news that I’m pregnant with a girl has been joy, as well as laughter: ”Whoa, three girls? Now you have to try for a boy.”

Do I?

After the misdiagnosed miscarriage, the hyperemesis, the bleeding, the leaking, and the general drama associated with this pregnancy, I hadn’t given much thought to another pregnancy. In fact, a tubal ligation began to sound like a viable option to me. Read More


Leaking Fluid During Pregnancy: Another Scare at 18 Weeks

By Erica Kain | January 7, 2009
amniotic-sac-leak

Getty Images

Last Sunday, at 18 weeks pregnant, I showed up to my hospital’s Labor and Delivery Department.

The women in the cubicles around me were hugely pregnant, moaning with contractions as they prepared to deliver and hold their new babies. I, on the other hand, was paralyzed by terror. The doctor had told me that he felt pretty sure my amniotic sac was leaking, and that my fetus and I were suffering from a preterm premature rupture of membranes (pPROM).

A fetus at 18 weeks is nowhere near viable outside the womb, and a broken sac would mean a miscarriage. The nurse was grim faced as she ordered the tests on the leaking fluid. “This doesn’t look good,” she said.

Read More


Vaginal Bleeding Scare: Will I Ever Not Be Afraid of Miscarriage?

By Erica Kain | December 3, 2008
miscarriage-spot-bleeding-scare

Getty Images

I did not need to see blood yesterday. But there it was on the toilet paper, brown and terrifying: the unmistakable sign of vaginal bleeding during pregnancy.

Earlier in the week, I’d called my OB’s office because I’ve had intermittent cramps—set low in my abdomen—that come and go and scare the living daylights out of me since they can be a sign of miscarriage. And even at 14 weeks, a failed pregnancy is not completely out of the question for me (or anyone else for that matter). Read More


Would Increased Risk of Birth Defects Deter You From IVF?

By Erica Kain | November 19, 2008
ivf-birth-defects

123rf

According to a Centers for Disease Control and Prevention study published yesterday in the journal Human Reproduction, fertility treatments that involve fertilization outside a woman’s body slightly increase the chances for certain birth defects in singleton pregnancies.

The study, which looked at some 13,500 infants born with birth defects and 5,000 born without, found that 2.4% of the children with defects were born with assisted reproductive technology (ART) compared to 1.1% of the children without defects. The researchers concluded that some birth defects, such as a hole in the heart and a cleft lip or palate, are two to four times more likely in babies conceived by ART than those conceived without it. Read More


Puking for Nine Months Straight: When Morning Sickness Gets Out of Control

By Erica Kain | November 5, 2008
woman-holding-hair-toilet

Getty Images

Last night was typical of my struggles with hyperemesis gravidarum, aka the morning sickness from hell. At 3 a.m., I dutifully trod into the kitchen to make the baby’s bottle, but by the time we were settled into the rocking chair and she was happily drinking, I had to hurl.

I eyed the garbage can in the corner—could I toss my cookies in there with minimal interruption to my daughter’s meal? Should I take her with me to the bathroom and try to hold her in a gentle, comforting manner while puking up my guts? Or should I just ditch her in the crib with a pacifier and make a break for it? I chose option C. Read More


My Fetus Is Growing, but So Is My Worry

By Erica Kain | November 2, 2008

Getty Images

Based on today’s ultrasound, we could have a winner here. What a journey this has been—from my initial elation at discovering I was pregnant to a misdiagnosed miscarriage to today’s doctor’s visit. There on the ultrasound screen was a seemingly healthy 9 1/2-week-old fetus frantically waving its little webbed nubby hands at me.

People keep telling me how heroic I am, as though I’ve somehow trumped a potential miscarriage with a healthy baby through the sheer force of hope. But I can tell you that there was no hope involved. It was the opposite of hope. I entered every day of pregnancy with fresh pessimism and dark predictions. Read More


Still Pregnant: My Miscarriage Was Misdiagnosed

By Erica Kain | October 22, 2008

“What exactly is that?” I asked, propping up on my elbows on the examining table, scrutinizing the ultrasound monitor.

“That is a seven-week-old embryo with a heartbeat,” my doctor said.

“No, wait, is it human?” I asked, gasping for air, staring at the flickering heartbeat pulsing through the little body.

I couldn’t believe it. Two weeks before, I’d been diagnosed with a miscarriage—specifically, a chemical pregnancy. I’d raced to the doctor’s office after experiencing heavy cramping and bleeding, and an ultrasound seemed to confirm my gut feeling that my pregnancy was ending. There wasn’t an embryo where there should have been one. And yet, here I was, two weeks later, finding out that I was still pregnant. Read More


Waiting to Miscarry: It Sucks to Be a Little Bit Pregnant

By Erica Kain | October 14, 2008

To quote one of my favorite infertility (and now pregnancy and parenting—yay!) bloggers, Julie, “It turns out you can be a little bit pregnant.”

Despite the bleeding and cramping that signaled my miscarriage two weeks ago, I have not “passed” the pregnancy yet. I’m nauseated, hormonal, and exhausted, and I’m still gaining weight—all for no good reason. During last week’s ultrasound, there was just an empty sac stuck in my uterus, where a 6-week-old growing embryo should have been. Read More


What Not to Say to a Woman Who Has Miscarried, and How You Can Help

By Erica Kain | October 6, 2008

After my three miscarriages, several older people have told me they were sorry about my “disappointment.” “What disappointment?” I always want to ask. I’m disappointed when Lost is a rerun; I’m devastated when I lose the chance to bring a child into the world.

But that euphemistic approach to discussing pregnancy loss is at the heart of why so many people have no idea what to say after you’ve had a miscarriage. Even though it’s surprisingly common, no one talks about it. Read More




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