You asked a really good question. You want to know why your doctor might be recommending that you not try VBAC after already having had two C-sections. A VBAC is a Vaginal Birth After a C-section, and it can be done under some circunstances, but a few different things need to be in place in order for it to be a good idea. First of all, your doctor needs to be comfortable with it, and it sounds like your doctor's not. And second of all, you'd need to deliver at a hospital, a high-risk hospital that had resources available in case the ultimate worst-case scenario happened.

When you do a vaginal birth after a C-section, ultimately we worry about a uterine rupture, because the last time you had your C-sections, an incision was created and a scar formed on your uterus, and that's a weak point for evermore. So, when you go into labor, if your doctor did say you could have a VBAC, those contractions would put stress on those weak points and potentially they could burst open--and that's what a uterine rupture is. It's similar to if I made a big incision down my bicep and started lifting heavy weight, the same thing could happen. And so this is potentially life-threatening to both moms and babies.

Now, the chance of it happening is low, and the American College of Obstetrics and Gynecology has said that they can be done after having two previous C-sections, but again this is up to the doctor. He needs to decide if he's comfortable with it and if it's going to be done at the right facility, and it sounds like your doctor's not. So it'd be best to follow your doctor's advice and have a C-section again because he or she is familiar with your individual circumstances.

And it's okay to go back to your doctor and ask them to explain why, why aren't they comfortable, and they can give the details to you and have a more candid conversation. But if you have any other questions for me, feel free to ask them on our Facebook page, facebook.com/intermountainmoms, and recommend us to your friends and family too.

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