Expert: Catherine Beier MS CBE - 7/23/2008

Question
i wanted to know if it was possible to have a vbac after two c-sections?my first pregnancy they said that his head was to big! then my second pregnancy they doctor would not do a vbac so i had a repeat c-section! And now this is my last pregnancy and i really want a vaginal birth experience what are my chances?

Answer
Nikki,

Yes, it is possible to have a VBAC after 2 sections.  However, your chances will depend on searching out a supportive care provider.  That will have much more bearing on whether you can have a successful VBAC than any other factor.  This may be harder than it seems.

Many doctors do not understand that VBAC is just as safe an option and will push for a repeat c-section like you had with your second.  It's not about your safety, but about the convenience for them of scheduling another section and reducing their liability.

Ultimately, your chances will either be helped or hindered by your choice of care provider.  I would not stay with either of the care providers you've had in the past.  You will need to interview providers in your area to find out who is truly supportive of VBAC.

Many doctors will do what's called the "bait-and-switch" - they'll tell you they're supportive of VBAC but all the while plant seeds of doubt in your mind that you'll need another c-section.  Once you get close to labor, you'll find that all they talk about are the risks of VBAC and the convenience of a section.  They'll focus on details that don't really have meaning, such as saying "boy, this baby is getting big" or "you don't see to be making any progress (when you're only 36 weeks and don't have to be making progress yet).

Also, beware of doctors who will routinely set a c-section date "just in case".  This is basically sending the message that you'll have a section by that date - like it or not.  This is also true for doctors who do routine non-stress tests near the end of pregnancy when no warning signs are present.  It's another way to find an excuse to section at the last minute.

To learn more about VBAC, visit www.vbacfacts.com - it's a great resource that can help you prepare for your VBAC and understand the challenges you may face along the way.


Best,
Catherine