Alexis is a Type 1 diabetic mom of three boys from Nevada. Her first birth was a 37-week induction due to her diabetes that ended in a vaginal delivery. For her second birth, Alexis was told she needed a cesarean because her baby was expected to be "massive," but after birth, he was perfectly average-sized. In the OR, her providers admitted their prediction was wrong, and Alexis was devastated. Alexis was determined more than ever to educate herself and advocate hard for her next birth.

During her third pregnancy, Alexis navigated polyhydramnios, multiple provider changes, and concerns about possible fetal heart abnormalities that ultimately turned out to be no issue after birth. But even with these challenges, still advocated and achieved her unmedicated VBAC. Her labor ended with a shoulder dystocia with her baby having a broken arm, but with a smooth recovery. Alexis shares how TVL, research, informed decision-making, educating her support team, and using the B.R.A.I.N. acronym helped her throughout her pregnancy and birth journey.

Note from Alexis: “There was never a real explanation as to why they suspected he had ARSA, the increased velocity, or the small hole in utero. And as a tip for anyone in labor, honey is considered a clear liquid, and the cheap honey bears at Walmart are great during labor! I took swigs off of it during labor for energy and to keep my blood sugar up. The midwife came to check on me at one point mid-swig and said that was the first time she had seen that in her 25 years. I couldn’t find honey sticks locally for a reasonable price, but I could find local honey bears.”

Keywords: VBAC, Type 1 diabetes, juvenile diabetes, induction, 37-week induction, scheduled cesarean, suspected macrosomia, big baby, polyhydramnios, unmedicated VBAC, shoulder dystocia, broken humerus, birth injury, fetal heart concerns, ARSA, informed consent, B.R.A.I.N., VBAC prep

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