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Vaginal Birth After Cesarean (VBAC)

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Vaginal Birth After Cesarean (VBAC)

Many people view the act of giving birth as being just about the baby. But it is not! Childbirth is as much about the new life as it is about you, the mother. Your desires and your wishes do matter. So, if you want to give birth naturally though your previous was a cesarean birth, you have the right to plan and hope for a VBAC.

A c-section can be a lifesaver, but for some people, it can also leave that personal touch out of childbirth. There are many reasons women need surgery to give birth, and none of them are trivial.

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If you had a cesarean but now want to opt for a VBAC, your work is cut out for you! Let us give you all the scoop on VBAC.

Why should you even try for a VBAC?

You had a Cesarean last time, and your baby came out healthy and happy. So, why rock the boat this time around? There are many reasons you and so many other women worldwide contemplate a VBAC. Here are some of the major reasons:

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  • Faster recovery is one of the biggest reasons women opt for VBAC. With a little one at home already and another one about to make their entry into the world, the last thing you need is to hobble around in pain.
  • For many women, a cesarean birth feels impersonal and takes away some of the early chances for bonding with their newborn. If that is how you felt about your previous delivery, VBAC may be right up your alley.
  • Breastfeeding is one of the most beautiful aspects of giving birth. But a c-section can make breastfeeding difficult. A VBAC can help you establish an early breastfeeding bond with your newborn.
  • Once a c-section, always a c-section! For a long time now, a cesarean birth marked the end of any possibility of a natural delivery in the future. If you are planning to have more than two kids, remember that each c-section makes the chance of a VBAC dimmer.
  • It may feel irrational to others, but how you want to give birth is entirely your choice. So, a VBAC is a good idea just because you want to experience a natural birth!

What are the risks associated with VBAC that you should know about?

A natural birth may be your dream, but the ultimate aim of childbirth remains a healthy baby and a healthy mother! That is why it is important that you know about all the risks associated with VBAC before you jump on the bandwagon.

  • The biggest reason doctors are wary of encouraging a VBAC is a uterine rupture. If you had a uterine rupture during your previous delivery, you should not even attempt a VBAC this time around – yes, it is that risky. But if you had a relatively healthy, low transverse (bikini) cut cesarean, your chance of getting a uterine rupture is as low as 0.5% to 1% (depending on other health issues).
  • A uterine rupture can cause infection and brain damage to the baby.
  • In some extreme cases, a uterine rupture can also necessitate a hysterectomy (removal of the uterus). Remember that a partial hysterectomy does not cause immediate menopause but will leave you infertile.
  • In most cases, the worst that can happen during a VBAC is a failed labor process and an emergency c-section.

What different factors determine the success rate of a VBAC?

You’ve seriously considered the risk factors as they relate to your specific circumstances and still want to opt for VBAC? Good for you! In fact, studies show that a good percentage of women (60% to 80%) go on to have a successful vaginal delivery via VBAC. Some of the factors that determine the success rate of a VBAC attempt include:

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  • Check your previous c-section scar. If you had a low transverse uterine incision last time, you have a good chance of having a successful VBAC. But if you have had more than one c-section, your chances will go down.
  • If your pregnancy is progressing smoothly and none of the factors that led to a cesarean last time exist during your current pregnancy, a vaginal birth is no longer a dream for you.
  • If you go into labor without assistance before or on your due date, you are on track for a VBAC. But if you are already past your due date, the chance of a natural delivery will dip.
  • Another factor that can make VBAC difficult is macrosomia; that is, if your child is larger than usual.
  • According to studies, your age too can play a significant role in VBAC. Younger mothers are more likely to come out of a VBAC successful and without complications. But if you are 35 or above, you are 39% more likely to experience complications and a failed labor trial during VBAC.
  • Your race is also a factor that determines the success rate of a VBAC. White women are more likely to have successful VBACs than women of other races. But the good news is that non-white women are 40% less likely to experience uterine rupture during a VBAC.
  • Obese women are 50% more likely to have a failed VBAC when compared to underweight women.

How can you prepare for a successful VBAC?

If your heart is set for a VBAC, start planning for it. There are things you can do to increase your odds of a successful VBAC.

  • Research, research, and research some more! If you are going for a VBAC, make sure you know the ins and outs of it. You can even take VBAC childbirth classes along with your partner.
  • Talk to your doctor about your wish for a vaginal delivery and discuss your complete medical history with him. Many doctors try to talk women out of a VBAC. But unless there is a good reason, hold your ground. If your health care provider is not supportive of a VBAC, look for someone who is!
  • Look for a hospital that is not just supportive of a VBAC but also has a high success rate in it. The hospital should also be well-equipped to handle any emergency situation.
  • Despite popular belief, your doctor can induce labor during a VBAC. But it will be best if things kick-start naturally. So, allow your body to go into labor naturally.
  • If you are obese, talk to your doctor about the risks while opting for a VBAC. In fact, it will be a great idea to lose some weight before you become pregnant!
  • Eat well and exercise regularly. A healthy pregnancy is surely a plus if you are trying for a VBAC.
  • Most importantly, be ready for a c-section! No matter how perfect everything is moving, the slightest of problems may warrant an emergency cesarean.

“Birth is not only about making a baby. Birth is also about making mothers – strong, capable, competent mothers who trust themselves and know their inner strength”. Barbara Katz Rothman

Remember this beautiful quote whenever you find yourself doubting your body. Trust your body and your doctor.

A VBAC can make you feel powerful and strong, reaffirming your inner warrior! But even if you do end up with another cesarean, remember, being a mother itself is a victory. Giving birth is only the first step, you have a whole battle lined up. So, plan a VBAC if it’s right for you but don’t let it take over your life.

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Featured photo credit: VBAC via flickr.com

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Last Updated on October 7, 2021

Why Spending Time With Your Family Is Important (And How To Do So)

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Why Spending Time With Your Family Is Important (And How To Do So)

In today’s chaotic world, having family time isn’t always easy. It can get pretty hard to coordinate schedules, especially if the family is large. Life demands that we work, attend school, nurture friendships, hobbies, etc. All of those things are extremely time-consuming and important—but so is spending time with your family.

Why is family time so important? Because we all need love and support, and a good, strong family can provide that regularly. For children, spending time with their family helps shape them into good, responsible adults, improve their mental health, and develop strong core values.

There are many positive effects of spending time with your family. My family and I, for instance (and this includes grandchildren as well), meet every Tuesday night for dinner and games. My older son and I take turns cooking. This gives all of us a chance to try some new recipes. After dinner, we play games. And without fail, they inspire competitiveness and laughter. As family night has evolved, the grandkids have invited their friends over as well, creating the need for more chairs but also expanding our circle of fun.

Aside from the obvious fun and games, there are other reasons why spending time with your family is paramount. In this article, I will provide you with multiple reasons why spending time with your family regularly is a win-win. And then, I will lay out some ways on how to do it.

Let’s get started, shall we?

Why Spending Time With Your Family Is Important

Here are six reasons why it’s important to spend time with your family.

1. Provides the Opportunity to Bond

When you spend time together as a family—talking about your day, your highs, your lows—it fosters communication. As parents, it gives you the chance to listen to your children, to hear them out, to learn about what’s going on in their world. It also provides you with the opportunity to use life situations as teaching moments.

Before our Tuesday night dinner/game nights, my family used to see each other pretty regularly but not consistently, especially the grandkids. Our family night changed all that. Now, it’s guaranteed that the grandchildren, along with some of their friends, will be there. Not only do I get to find out what’s been happening in their lives, but they also get to know us better. It’s creating memories they can treasure forever, as well as modeling the Get-Together tradition for when they eventually have families of their own.

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“Spending time partaking in everyday family leisure activities has been associated with greater emotional bonding within families.”[1]

2. Teaches the Value of Family

Taking the time to be with your family lets your children know they are valued—that spending time together is a priority. I know that in today’s world, both parents are busy as both usually working. What better way to let your children know they are loved than by carving out time each week to spend with them?

According to Marilyn Price-Mitchell, Ph.D., “words like honesty, trust, fairness, respect, responsibility, and courage are core to centuries of religious, philosophical, and family beliefs. Use them and others to express and reinforce your family values. Teach children the behaviors that flow from these principles. Use quotes to ignite meaningful dinner conversations and encourage kids to talk about these values.”[2]

3. Enhances Mental Well-Being

Spending that quality time together gives your children a safe platform in which to express themselves, ask questions about things that are bothering them, or talk about their day and things they’ve learned. I know that my 9-year old granddaughter can’t wait until it’s her turn to talk about her day. She usually goes on and on and has to be stopped to give everyone else a chance to talk about their goings-on.

“Research shows the quality of family relationships is more important than their size or composition. Whoever the family is made up of, they can build strong, positive relationships that promote wellbeing and support children and young people’s mental health.”[3]

For children, having the opportunity to seek advice from parents they trust—as well as being able to have a sounding board and help with problem-solving—is priceless. In addition, being able to voice their opinions and be heard—and to feel like what they have to say matters—is an esteem-builder. All of these can have a very impactful positive effect on their well-being.

4. Helps the Child Feel Loved

How do you think a child feels knowing their parents want to spend time with them—talking, sharing experiences, playing games, listening to them? It will make them feel as though they are important, and a child that feels important is happier and more apt to thrive. Setting aside chores or work to spend time with your children demonstrates that they’re essential—that they matter. What a gift to give your child!

“If a child has your undivided attention, it signals that they are loved and important to you. This can be further nurtured by experiencing joyful activities together, as it demonstrates that you want to spend time with your children over and above all of the daily demands.”[4]

5. Creates a Safe Environment

If you regularly spend time with your children, you are also creating an atmosphere of trust. The more trust they have, the more likely they are to share with you what’s going on in their world. As they get older, you’re going to want to know. Negative influences can show up at any time, but if you’ve always been there for your child, they are more apt to come to you and ask for your advice.

Spending time together generates familiarity and feelings of being supported. When a child feels safe and comfortable, they’re more likely to open up. This is one way to get to know your child and know what’s on their minds. Are they okay? Do they need your guidance? If so, how?

6. Reduces Stress

This is significant. We all suffer from stress at one point or another in our lives. Spending time with family helps alleviate that stress. It’s an opportunity to talk things out, get feedback, and maybe brainstorm for a solution to the problem that is causing the stress.

According to Brandy Drzymkowski, “During the holidays, your closest five people probably shifts to family and friends. You may even get to see loved ones who live far away. Good news! This can actually help lower your stress levels. Studies show ‘face-to-face interaction…counteracts the body’s defensive ‘fight-or-flight’ response.’ In other words, quality time spent with loved ones is nature’s stress reliever.”[5]

So, now that you know some of the benefits, what are some ideas for making family time happen?

How to Make Family Time Happen

Here are four things you can do to make family time happen and spend more time with them.

1. Family Dinners

This, as I said above, is a wonderful way to spend time together. While you’re having dinner, you have the chance to discuss things that are going on in your lives—the ups, the downs, and everywhere in between. It’s like having a buffer against life’s challenges.

Aside from that, eating dinner together has many additional benefits. Studies have shown that for kids who eat regularly with their families, there is less risk of substance abuse, teen pregnancy, and depression.[6]

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“Our belief in the ‘magic’ of family dinners is grounded in research on the physical, mental and emotional benefits of regular family meals.” It further states, “We recommend combining food, fun and conversation at mealtimes because those three ingredients are the recipe for a warm, positive family dinner—the type of environment that makes these scientifically proven benefits possible.”[7]

According to Parenting NI, “children and adolescents who spend more time with their parents are less likely to get involved in risky behavior. According to studies done by the National Center on Addiction and Substance Abuse via Arizona State University, teens who have infrequent family dinners are twice as likely to use tobacco, nearly twice as likely to use alcohol and one and a half times more likely to use marijuana.”[8]

As you can see, there are multiple benefits to spending time with each other routinely. You can’t go wrong with this family activity.

2.  Regular Movie Nights

This is another fun event, although, from personal experience, I have to caution that choosing a movie that everyone wants to see is not easy. So, give yourselves plenty of time so you don’t spend two hours searching for a movie, and then end up watching no movie at all because the night is practically over. Try and choose a movie before the day, if possible.

Afterward, open it up for discussion. Ask questions pertinent to the movie. What do you think of ABC? Should they have done that? Would you have done something differently? There are so many questions you can ask to spark a conversation and keep the night going.

3. Game Night

This is another occasion for great fun. If you have a competitive spirit, it makes it even more fun. There are numerous games out there—Balderdash, Pictionary, Apples to Apples, Charades, to name a few—that can create fun havoc. All I can say is, on game nights, don’t take yourself too seriously. It’s okay if you lose the game. The fun is in being together, laughing, debating, and having a good time.

In addition, “Playing board games is great for children for many reasons besides the obvious; it’s fun to play games! Age appropriate games can help children to think strategically, solve problems creatively, work on pattern recognition and build simple math skills. They also help children develop social skills such as following rules, taking turns, and graceful winning or losing. Additionally, a family game night provides an opportunity for children to bond with siblings, parents and family members as well as peers. It can promote tradition building and establish a fun routine.”[9]

So, go find your family a game and start having fun!

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4. Sharing a Hobby

If you and one of your kids like to do the same things, do it more often. For example, my oldest son and his teenage son go on long bike rides together on the weekends. Not only do they get to exercise, but they also get to talk and look at beautiful sceneries. They’ve also incorporated cooking into their routine. They plan the meal, shop, and prepare—activities that bring them closer together.

Sharing a hobby is a great way to bring family members together. It bonds people in amazing ways. According to Alison Ratner Mayer, LICSW, “One of the easiest and most important ways to build a child’s self-esteem is to spend time with them doing something not only that they enjoy but something that you also enjoy. There is a special magic that happens between a parent and a child when they share a mutually beloved activity. It sends the message to the child that their parents are having fun, true, honest, real fun, with them.”[10]

Final Thoughts

Spending time with the family is an investment. It is an investment in the happiness, well-being, and security of that system. It can also serve as a way to break out of the daily rut and the constant worldly demands, while at the same time, building a strong family unit.

Even though it isn’t always easy to find the time, finding the time is key to staying close and to providing and receiving love and support. There is no greater gift than the gift of time. That’s what we all seem to be missing nowadays. So, in giving that gift consistently, everyone feels loved and appreciated.

The family that takes the time to interact regularly is typically happy. They know they are part of a tribe, and that’s essential in today’s chaotic world. To know that there are people whom you can count on—people who will have your back in times of need—is invaluable.

Now, go and plan something plan with your family, if you haven’t already.

Featured photo credit: Jimmy Dean via unsplash.com

Reference

[1] Pittsburgh Parent: Spending Time Together—Benefits of Family Time
[2] Roots of Action: Integrity: How Families Teach and Live Their Values
[3] Beyond Blue: Healthy Families
[4] Esperance Anglican Community School: The importance of family time
[5] Brandy Drzymkowski: Spending Time With Loved Ones Reduces Stress
[6] Harvard Graduate School of Education: Harvard EdCast: The Benefit of Family Mealtime
[7] The Family Dinner Project: BENEFITS OF FAMILY DINNERS
[8] Parenting NI: The Importance of Spending Time Together
[9] WNY Children: Family Game Night- The Benefits of Game Play
[10] Child Therapy Boston: The Benefits of Sharing a Hobby With Your Child

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