792| Preparing Differently for 2nd Out-of-Hospital Birth after ECV + Discussion of Multiple Losses – Aaron Brame

Aaron’s first full-term pregnancy and birth followed two first-trimester miscarriages. Aaron was referred to a hematologist to rule out any blood clotting issues and was encouraged to be on a blood thinner for the subsequent pregnancy. Due to a spinal surgery that prevented spinal pain control, Aaron planned for an unmedicated, out-of-hospital birth at a birth center. After a first trimester of being on blood thinners, her OB and MFM agreed that the blood thinners were unnecessary and that she could plan for the unmedicated, out-of-hospital birth she wanted. After an uneventful final two trimesters, she went into labor spontaneously in the 39th week. After 21 hours of challenging active labor and 2.5 hours of pushing, Oliver entered the world. Aaron was challenged by severe nausea from early labor through delivery, inconsistent but intense contractions, and scar tissue on the cervix, which prevented typical progression and had to be manually extracted. Aaron struggled with feeling well-resourced during the long labor. 

Almost three years later, Aaron found herself in a similar situation: pregnant after another two miscarriages. This time Aaron was put on a progesterone regime for the first trimester. For this birth, Aaron planned for a home birth with midwives. The only thing getting in the way of this plan was a stubbornly breech baby. After unsuccessful attempts to turn the baby at home, Aaron and her spouse decided to do an ECV in the 38th week. While nerve-wracking, the procedure was successful and ultimately an empowering experience of using evidence-based resources to make the best decision for their family. Aaron went on to go slightly over her due date and began feeling contractions at 40 + 5. Expecting a prolonged dilation, Aaron didn’t feel ready to call the midwives, but luckily, her husband insisted, and they arrived just in time to help deliver their baby girl in the tub after 4 hours of active labor. During this labor, Aaron worked on moving, eating, drinking, and taking Zofran to maintain her strength. 

Aaron Brame Bio

lives in Gainesville, FL, with her spouse, Jason, children Oliver, 3, Lula, seven months old, and pup Penny. Aaron works at an educational non-profit, and her spouse owns a fine woodworking business. Oliver and Lula specialize in making each other laugh and generally being really great kids. Aaron can be reached on Instagram at aaron_brame and also by email at abrame06@gmail.com


Motif Medical

This episode was sponsored by Motif Medical. Motif designs insurance-eligible products for busy moms. With a focus on innovation and empowerment, Motif’s line of breast pumps and maternity compression garments are sophisticated, yet discreet, and made to support mothers as they navigate new motherhood. Discover why moms are reporting more milk in less time with the Luna breast pump and learn about the new wearable Aura pump, plus see how you can get it covered through insurance at motifmedical.com/birthhour.