I have had two c-sections but really want a natural birth. Is there hope for me?
Q: I have had two c-sections but really want a natural birth. Is there hope for me?
A: Of course there is hope for you. It will take commitment, research and to find a supportive and skilled practitioner. You will probably need to find out (if possible) from your medical records what kind of uterine incision you had. A classical incision ( vertical ) is not considered safe for a VBAC but 90% of incisions since the 70’s have been transverse which poses much less risks for a rupture or separation.
During labor at the hospital you will probably be required to be monitored and induction or augmentation medications are not recommended. Hiring a doula and staying home until active labor is a safe solution.
As you interview practitioners, either doctors or midwives they will probably want to know the reason for the previous cesareans. I recommend you read Henci Goer’s book, Obstetric Myths versus Research Realities before you start your interview process. She has an entire chapter on VBAC and there are wonderful data on VBAC with more than one cesarean.
On a personal note: I am the mother of 4 children. The first 2 born by cesarean followed by 2 beautiful and safe VBAC’s. Searching into your options is already a huge step in taking charge of your birth. No matter what you decide, this process will be rewarding and empowering.
All the Best,
Ana Paula Markel, ICCE, CD (DONA), Certified Childbirth Educator, Certified Doula
APMarkel.com
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