476 HBAC After PPROM + Circumvallate Placenta & Marginal Cord Insertion | Melle
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Melle McPhee is a VBAC Link Certified Doula and mom of three girls. Her first birth was an 11-hour vaginal delivery at 39+6 with an epidural and episiotomy. After PPROM (preterm premature rupture of membranes) at 36+5 with her second, Melle found out that her baby was footling breech and had an emergency cesarean. Melle struggled with feeling like her body had failed and feared another spontaneous preterm birth.
During her third pregnancy, Melle focused on supporting a full-term pregnancy, including daily collagen protein, exercise, and a nutrient-dense diet. At exactly 40 weeks, she went into spontaneous labor and had a 12-hour physiological home birth VBAC with a midwife. Her water didn’t break until five minutes before birth, and she had no tearing. Melle shares how she approached the recommendations surrounding VBAC, home birth, continuous monitoring, and cervical checks through informed consent and her own risk tolerance. Her biggest VBAC advice is to hire a doula and know that a previous spontaneous preterm birth does not mean your body is broken or that you can’t carry a future baby to term.
Keywords: VBAC, VBAC Doula, HBAC, home birth, PPROM, preterm birth, footling breech, breech prevention, midwife, circumvallate placenta, marginal cord insertion
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