Maybe some vbac info for those who want to and are able. This is from the mayo clinic
You've already had a baby by Caesarean section (C-section). Your doctor says you have a choice with your next baby. You can try a vaginal delivery or schedule a repeat C-section.
Years ago, a C-section ended any hope of future vaginal deliveries. But today, thanks largely to changes in surgical technique, vaginal birth after C-section (VBAC) is possible in many cases. In fact, 60 percent to 80 percent of women who try VBAC have a successful vaginal delivery.
VBAC isn't right for everyone, though. Sometimes a pregnancy complication prevents the possibility of a successful VBAC. Many local hospitals don't offer VBAC because they don't have the staff or resources to handle emergency C-sections.
After a C-section, many women are candidates for VBAC. Your doctor will review your medical history to help you decide whether VBAC or repeat C-section is appropriate for you and your baby. Here are factors your doctor will consider.
What type of uterine incision was used for the prior C-section?
Scars left from certain types of incisions have an increased risk of tearing during labor and delivery — a rare but serious risk of VBAC. You can't tell what kind of uterine incision you've had just by looking at the scar on your belly. Instead, check with your doctor or review your medical records.
- Low transverse incision. This is the most common uterine incision. It's made sideways across the lower part of the uterus. A low transverse incision usually bleeds less than an incision made higher on the uterus. It also forms stronger scars and presents less danger of rupture during subsequent labors — between a 0.2 percent to 1.5 percent chance. If you've had one or even two of these incisions, you may be a candidate for VBAC.
- Low vertical incision. This type of incision is made low on the uterus, where the uterine wall is thinner. A low vertical incision may be used to deliver a baby situated in an awkward position or when there's concern that the incision may need to be extended. A low vertical incision presents a higher risk of subsequent uterine rupture — 1 percent to 7 percent. If you've had a low vertical incision that doesn't extend into the upper uterus, you may still be a candidate for VBAC. However, it's sometimes difficult to determine if the scar is low enough to minimize the risk of uterine rupture.
- Classical incision. This type of incision, also called a high vertical incision, was once used for all C-sections. However, it carries the highest risk of bleeding during labor and of subsequent uterine rupture — 4 percent to 9 percent. It's now used only in emergency situations. VBAC isn't recommended for women who've had a classical uterine incision.
- T-shaped, inverted T-shaped or J-shaped incision. These incisions are used only in emergencies or when problems develop. They're not planned. If you have any of these scars, VBAC isn't an option. The risk of uterine rupture is too great.
If your type of previous uterine incision can't be determined, your doctor may recommend a repeat C-section.
Have you had previous vaginal deliveries?
A vaginal delivery at least once before or after your prior C-section increases your chances for a successful VBAC.
What prompted the prior C-section?
If your prior C-section was done for a reason that isn't present during your current pregnancy — such as infection or a problem with the placenta — your chance of a successful vaginal delivery is similar to that of a woman who's never had a C-section.
If your C-section was done because the baby didn't descend through the birth canal, the chances of a successful vaginal delivery decrease — but you don't necessarily need to rule out VBAC. Your next baby may enter the pelvis in a more favorable position. Or your current pregnancy may have changed your pelvic dimensions.
If you had your prior C-section because your cervix didn't dilate enough to allow your baby to pass through the vagina, your chance of a successful VBAC is less favorable.
How many C-sections have you had?
If you've had two or more C-sections and no vaginal deliveries, you face a higher risk of complications from VBAC — including uterine rupture. If you've had two or more C-sections, your doctor may support VBAC only if you've also had at least one successful vaginal delivery.
Have you had a uterine rupture?
If you had a uterine rupture during a previous pregnancy, you're not a candidate for VBAC.
Are you delivering multiples?
If you're delivering twins and both babies are positioned headfirst, VBAC may be a safe option. But because twin births are more complicated, many women and their doctors choose repeat C-section for twins. If you're pregnant with triplets or other multiples, VBAC generally isn't an option.
Do you have any health conditions that might affect a vaginal delivery?
If you have diabetes, heart disease, high blood pressure or active genital herpes, vaginal delivery may be risky for you and your baby. Asthma and anemia may increase the risks associated with vaginal delivery as well, depending on the severity of your symptoms.
Will you deliver the baby in a facility equipped to handle an emergency C-section?
If complications arise, an emergency C-section may be the only option. A home delivery isn't appropriate for VBAC. Many local hospitals don't offer VBAC because they don't have the staff or resources to handle emergency C-sections. If you choose a facility farther from home, traveling while you're in labor may pose substantial risks.