Face Presentation · Mentum Anterior

My VBA2C baby was delivered with face presentation.


On February 21 my son was born a little…. unconventionally.   Not only were we going for a VBA2C ( Part 1 and Part 2 of my Journey to VBA2C in another blog post) but my little man decided to join us in a position called face presentation (mentum anterior).  Face presentation occurs in 1 of every 600-800 births, averaging about 0.2% of births.  It’s really just my luck to fall into that .2! While we aren’t sure exactly how he came to be in that position, my doctor suspects it has something to do with my pelvis size or the fact that my uterine wall was weakened allowing him to move more freely.  Face presentation was diagnosed in the first stage of labor after I had been in labor for about 30 hours, dilated to 8! The nurse had come in to do a vaginal exam to check dilation and said that her finger went into a hole. She was not sure exactly what it was, so called my doctor in to take a look.  He confirmed it was indeed Face Presentation.  Fortunately, the mentum is anterior in over 60% of cases of face presentation, and is more likely to deliver vaginally than other types of face presentation, with overall success rates of 60-70% so my Doctor was still confident that I could deliver vaginally. We both looked fine on the monitors so we pressed on. However, warned me and my family that his face would be very swollen and bruised. A few hours later I was prepped and ready to push.  I push several sets through several contractions and I hear my Doctor say that he can see a nose! With my permission he called the nurses in to have a look, because it really is rare to see. With everyone looking I decided I better ask for a mirror so that I could see too! It was unreal… there his sweet little face was! Had we been allowed to take pictures, it was the type of thing that could be in a text book, darn hospitals and their policies!  A few more pushes and out he came.  My poor little guy looked like he had been in a fight.  His left eye, brow, and forehead very swollen and bruised, and his jaw a little to the side.  It was so hard to see him that way. I felt like I had beaten him up inside my body. After he made his exit he was taken right over to be checked out and get some oxygen, before he could come to me for skin to skin. From what I remember, he was still and very quiet. That first cry was the best sound I had heard in a long time.  We were warned but I don’t think I expected it to be quite so bad.  My poor photographer had not gotten the heads up and froze when she saw him, my mother in law knew but seeing it in person made her have to leave the room and cry, and daddy and I were very on edge and worried.  However, as soon as that baby was on my chest, I felt peace, and knew all was well.


Psalm 139:14 “I will praise You because I have been remarkably and wonderfully made. Your works are wonderful, and I know this very well.”

Remarkably and wonderfully made indeed! He did come out very swollen and bruised, just apart of his miraculous birth story, but he was made for that exit and made to recover it.  He recovered very quickly!  Watching his transformation over the next couple of days amazed me.

(The following images may be hard to see, but I promise there is a happy ending)


Right After delivery Saturday evening. Friday 21


Sunday 22nd. Morning after delivery.


Sunday Evening after delivery.


First day home. Monday Morning 23rd.

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5 days old! Completely healed!

Man is God good or what!? I thank God every day that things happened as well as they did. Things could have been way worse. I am very thankful my doctor knew how to handle it and handled it so well! We had our VBA2C with our face first baby, with no harm to me or him! Pediatrician says he is perfect! I would have to agree 😉


He had to give me a hard time at birth because he planned on being such a good baby! 🙂

Birth Story · Cesarean Section · Face Presentation · VBA2C · VBAC

My Journey to VBA2C Birth Story Part 1 {Pregnancies 1 &2}

My Journey To VBA2C

{Part 1}

  My first pregnancy in 2008 was nothing like I had expected. I was young and uneducated which I feel made it harder, and I had many complications. Had gone in several times having early contractions due to being dehydrated and had to have IV fluids. During the 3rd trimester I found out that I had a tear in my placenta. I was put on bed rest and was watched pretty closely from there on out. Also baby was breech. At 37 weeks I had a scheduled check up/sono to check on baby and during the sono they found that he was out of room and amniotic fluid was severely low. I was told that I needed to have a Cesarean Section right away. Being my first major surgery, I was terrified, but this was what was best for my son! Family arrived and I was wheeled back for surgery. My 5lb 15oz baby boy was born perfect and healthy, got a glimpse of him over the blue curtain and then they took him over for a quick check and then to the nursery he went while I was getting sewn up. I urged my husband to stay with him so I laid there alone. Not sure on time, but I did not get that immediate bond with my baby that mothers desire! Finally got to the room where I was greeted by family and friends and finally got to hold my baby boy. I was swollen, still scared, and shaking from surgery. Not exactly how I imagined my first moments with him. Once everything settled and I got into my own room,  things died down, and family left, I finally got the peaceful moments with my son. HOURS after he was born. In the days following, I could hardly get up, was afraid to. Had to have my husband and nurses hand my child to me. My husband showered me, and dressed me. Was terrified to wear pants, {glad I had summer dresses!}I was so scared to move and knew I had a long road ahead of me. It was very traumatizing. Once home, I had to have way more help than I planned…I slept sitting up for months, walked hunched over for longer than I should have, Just in general did not handle it well… But my baby was here, and he was safe. That’s what matters right? Certainly! For him, I would do it all over.


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  18 months later we found out that we were expecting our second child, Due June 2010. Still on the younger side and still pretty uneducated, I had always heard once a C-Section always a section, so I mentally prepared for that! Made a move to my husbands home town late in the pregnancy, so around 28 weeks I was scouring for a Dr. who could take me. New to the area and eager to get going on prenatal care, I picked the first Dr. that accepted my insurance and due date. Dr. Young. While looking some things up online I came across some VBAC information, did not look much into it, instead I went to my Dr. about it thinking I would get the best information and see what he thought. He immediately shut me down and said that it was not a safe option, so I took his word, he is the Dr. after all… Knowing what I know now I regret not looking more into this, but I trusted him and got my mind set back on delivering our second baby boy via cesarean section. The Pregnancy went well. I did have to have fluids again this pregnancy, apparently I am terrible at staying hydrated. Then at 38 weeks I lost my mucus plug and began to contract on my own. Called in and they had me head to labor and delivery where my Dr pumped me with fluids and tried to stop the labor. (Looking back I am thinking BC it was nearly midnight and not a good time for a section). I was never told if I was dilated, I was given terrible pain meds for the contractions that made me feel scared, and once he saw that the labor was progressing I was prepped for C Section and taken back for surgery! Baby was born fine and healthy. 5Lb 14 oz, looked just like brother. I was given a glimpse over the blue curtain and again he was taken away to be checked out. I sent dad with him and again was left to be sewn, then off to a recovery room by myself. Meanwhile, 3 family members held my baby before I had even gotten to. Still not getting that immediate bond mothers want. No skin to skin until hours later. On the upside, recovery was much better this time, I had the “been there done this” attitude and was up and walking 10 hours after surgery. Still very much in pain and slowed down by the surgery, scared to have my oldest son sit by me, but was much easier this time around. Just not ideal.

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Looking back, had I done more research, been more educated, I very well could have had a VBAC since my body was naturally doing what it was supposed to. Sadly, I was just not given a chance.

I cannot change how these births happened. I have nothing against cesareans, My first medically necessary, but the second one not so much. It is just a part of our story now. Both lead me to a healthy baby and that is the big picture. However I do feel that mothers should educate themselves!

Here we are 4 years later, we decided to try for a baby girl even though the thought of another C Section is terrifying. As soon as I found out I was pregnant, little older now, little wiser I feel, I scoured the internet for VBA2C stories, even though I thought it was too late for me after 2 cesareans. To my surprise it actually can happen! I watched videos, found groups, pages, talked to doulas, friends and family, looked up risks, success stories, fails, and tips. I took notes and gathered all kinds of information. Found a DR. with great reviews and began to see  him from week 6. Dr. Olaya. Still gathering information and knowledge I did not ask him right away what his thoughts were about VBA2C. I just kept up with the appointments until I was ready to bring it up. Once I felt confident in my decision, I asked and sure enough, he did not support VBA2C! Only supported VBAC if you have had a vaginal birth before. Well I haven’t, I wasn’t given the chance!  Luckily, after speaking with a doula for some time, Mrs. Wendy! I already had the name of 2 doctors in the area that would support me.  So I did not even argue it, just left the office that day and called for a consultation with one of the others, Dr. Lamar! At 28 weeks I switched over to his office! I am so very glad that I did!  I am currently 36+3 pregnant with my third baby BOY. In February 2015 I will be attempting a TOLAC, {Trial of Labor after Cesarean section} in hopes that we can have the VBA2C {Vaginal birth after 2 Cesareans} that we desire. With a fabulous, confident Dr. who believes there is no reason that I cannot do this, an incredible doula, and support from our family and friends, my husband and I are preparing for a different experience.

Ultimately we know that our God is in control and this birth will happen how he intends it to happen. All that really matters is that baby and I are healthy, but God willing, I will birth a baby from my vagina!!

To be continued…..