Redemptive Maternal Assisted Cesarean Birth after Profound Incontinence Following Vaginal Birth

Nicole was supported by her healthcare team to have an empowering and redemptive elective maternal assisted cesarean birth with the birth of her second son, Harrison. The decision to pursue this option was following a traumatic first time vaginal birth with several postpartum complications (planned homebirth turned hospital transfer for prolonged rupture of membranes and prodromal labor after attempting an at home castor oil induction followed by multiple days of a long labor once at the hospital. Nicole then experiences a retained placenta and cervical laceration with attempt at manual removal of placenta followed by the cervical laceration being improperly repaired and healing abnormally. She ultimately needed a D&C which was followed by having a latex Foley catheter inserted despite a known latex allergy that was listed in her chart. In the months that followed Nicole experienced profound postpartum urinary incontinence requiring multiple interventions and procedures and ultimately a surgery to correct at 6 months postpartum which thankfully worked.  Nicole’s second pregnancy was complicated by a shortened cervix, ptsd, anxiety, and perinatal OCD but her maternal-assisted cesarean birth was the most empowering and redemptive experience she could’ve imagined.

Nicole Minghine Bio

Nicole is a registered nurse and certified nurse midwife. Presently, she is a stay at home mom to her 2 children. Nicole lives in Ann Arbor, Michigan with her husband Josh and their 2 sons (Jude 2yo & Harrison 7w). Connect with her on Instagram @nminghine.

Resources

• Best pads for urinary incontinence: Poise Ultra Thin Incontinence Pads & Postpartum Incontinence Pads, 4 Drop Moderate Absorbency, Long Length, 144 Count (3 Packs of 48), Packaging May Vary https://a.co/d/iSfoF2R
• The CONfidence app enables people with bladder and bowel leakage to find useful information, self-care tips and links to support – all in one place. The app was developed in collaboration between Expert Self Care Ltd and the Bristol Health Partners Bladder and Bowel Confidence (BABCON) Health Integration Team, and co-produced with public contributors, topic experts, charities and other partners.
• PMSL: Or How I Literally Pissed Myself Laughing and Survived the Last Taboo to Tell the Tale https://a.co/d/0VknfCy
• Birth photography: Jennifer Mason 
• Maternal assisted cesarean inspo: Empowered Motherhood Project Blog

Psychiatry support

• MC3 offers no-cost psychiatry support to prescribing health care providers who treat behavioral/mental health in youth and perinatal people in Michigan through same-day phone consultations to offer guidance on diagnostic questions, safe medications, and appropriate psychotherapy. MC3 offers direct perinatal mental health services to patients of providers enrolled in MC3 in select counties. This is a pilot program that includes free same-day access to behavioral health consultants that will provide virtual counseling, case management, and care coordination for your patients. The MC3 program offers psychiatry support to health care providers in Michigan who are managing patients with behavioral/mental health concerns. This includes children, adolescents, young adults through age 26, and women who are contemplating pregnancy, pregnant, or postpartum (up to one year). MC3 is part of the Michigan Medicine Department of Psychiatry. It is funded by the Michigan Department of Health and Human Services (MDHHS) via general funds, Medicaid Administration funds, Health Resources Services Administration (HRSA) funds, and Flint Water Crisis funds.