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Down to Birth

#359 | When VBAC Comes with Medical Assault: Abby's Birth Story

Down to Birth

Cynthia Overgard & Trisha Ludwig

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8586 Ratings

🗓️ 18 March 2026

⏱️ 49 minutes

🧾️ Download transcript

Summary

In this episode, Abby shares her VBAC birth story following an emergency cesarean. Determined to experience a vaginal birth, she prepared carefully while navigating limited provider options in Alabama. What unfolded during labor and delivery underscores how provider behavior, rather than maternal physiology, often determines birth outcomes. Abby describes how a manual vaginal extraction caused a nearly catastrophic fourth-degree tear, requiring three subsequent surgeries in the months that fo...

Transcript

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0:00.0

I birthed my daughter's head and my body took a break.

0:07.0

I was not contracting.

0:08.7

There was no shoulder distortion.

0:11.7

There was no cord around the neck.

0:13.4

There was no complication.

0:15.4

And she just whipped my baby out.

0:17.2

And my husband remembers he saw it all.

0:20.7

He saw I ended up with a fourth degree tear he

0:23.6

saw my baby just go like as she did it I had um three subsequent surgeries after the initial repair

0:32.0

um to try to fix things that... Three additional surgeries.

0:41.4

This is a person who purposefully harmed you.

0:47.4

I live in a broken world with a broken hospital system and broken people.

0:56.2

I'm Cynthia Overgard, birth educator, advocate for informed consent, and postpartum support specialist.

1:02.3

And I'm Tresha Ludwig, certified nurse midwife and international board certified lactation consultant.

1:04.9

And this is the Down to Birth Show.

1:08.7

Childbirth is something we're made to do. But how do we have our safest and most satisfying

1:11.4

experience in today's medical culture? Let's dispel the myths and get down to birth.

1:24.7

All right. My name is Abby and I'm a mom of almost three. My third is coming this summer. And

1:33.1

being a mom is the best thing I've ever done. It's incredible for a time. I didn't think I wanted

1:39.5

kids and I can't believe I ever felt that way. That's so crazy. So I'm glad that it didn't turn out that way.

1:45.6

But I loved a watercolor and read.

1:50.2

And those are all things that have spilled over into motherhood that I get to do with my kiddos too.

...

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