Hi Tanstar, I think it would be very similar for a first vaginal birth. I attended my first VBAC as doula with a gorgeous woman from here at Bellybelly. The wise saying, "It's just a birth" kept going through my head. The idea being that a VBAC woman needs all the things that ANY woman needs to birth safely and effectively, the things that will promote her luscious birth hormones and not impede them, loads of TLC and freedom to move as her body impels her, to use gravity to her advantage, and to be able to go with the flow of her own unique rhythms. Therefore, it's important to choose and environment and careproviders who will be conducive to this.
I think it would be quite similar for a first vaginal birth after c/s, because the sensations of being fully dilated, and the journey of the baby through the cervix, down into the vagina, past the bowel (creating that 'oh the baby is coming out the wrong hole!' kind of feeling) and the sensations of vaginal distention and eventually, crowning, would be new to most VBAC women. So, you need loads of support and encouragement to trust your body, listen to its signals, follow its cues and do what feels right - and celebrate your awesome birthing body.





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