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Yes, you can, but it is something you should discuss with your obstetrician. First, you have to consider the reasons for the previous cesarian sections. If they were one time problems (breech presentation, placenta previa), then a vaginal birth is something to consider. If your previous cesarians were done for obstructed labor, a small pelvis, "CPD," dysfunctional labor, or other conditions which are likely to recur, it may not be a good idea. A uterus with a scar on it is much more likely to rupture (burst open) during labor, and this can cause fetal distress or death. However, even there is a less than 1% chance of this happening, it is still a possibility, and one with potentially catastrophic consequences. The type of scar is important. If you wish to attempt VBAC, you will want to make sure your previous surgeries were done with low-transverse incisions on the uterus. You cannot tell what sort of incision you had by looking at the scar on your belly--you need to consult the operative record or ask the Doctor Who performed it. A previous low transverse uterine incision does not cut into the body of the uterus, and is least like to rupture. A vertical, low vertical, or "classical" incision, which goes up and down on the uterus, and is performed for complicated presentation (transverse), prematurity (undeveloped lower uterine segment), unusual blood vessels, or scarring and/or adhesions from previous surgery, is much more likely to rupture, and is a contraindication to labor. Mind you, cesarean section also holds risks for the mother and baby. It is major abdominal surgery and has a maternal mortality rate 2 to 4 times that of vaginal birth. Cesarean births can lead to trouble bonding and breastfeeding. But, when compared to VBAC, the risks of maternal morbidity and mortality are similar. Most doctors will not induce someone with two previous cesarians (because of an even higher risk of rupture than natural labor), but will allow labor to proceed naturally in a hospital setting. If you wish to try and deliver vaginally after two cesarian sections, this should be done in a hospital (not birthing center) that can perform an immediate cesarian section in case of an emergency. If you've delivered vaginally prior to your cesarian section, this would increase the likelihood of a successful VBAC (vaginal birth after cesarian).

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14y ago
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8y ago

It is likely that your pelvic bone will still be too small. But talk to your doctor, if you choose you may be able to try again for a vaginal birth. There is a risk of your uterus rupturing with a vaginal birth after having a c section. But it is possible to have a vbac (vaginal birth after ceaserian). My aunt had two c sections and with her third had a vaginal delivery.Talk to your doctor and see what is the best for you and the baby.

Absolutely! When doctors are not sure why they gave you a c-section, they will often tell you that your pelvis is too small. This is hardly ever correct. Find Ina May Gaskin's Guide to Child Birth and you will gain a whole new opinion on what childbirth should be. Some of it was a little hippie for me, but I learned so much! My first baby was born by c-section. My second baby is due in July and I've hired a doula for this one. I'm confident that this birth will be vaginal. Don't just go by what your doctor tells you! Pretty much every test and almost all the decisions during labor and childbirth can be made by you. Be informed!

If your pelvic bone is too small, most likely you will have another c-section. My mom had an emergency one her first time because her cervix didn't dialate due to her pelvic bone being small and the head didn't come through. With her second pregnancy she went ahead and scheduled a c-section because of this. So, most likely not unless you dialte enough.

You can absolutely have a natural childbirth after a c-section. Even though the medical community as a whole does all that it can to deter women from making the better choice of natural childbirth. My first child was a c-section because the Dr. induced my labor two weeks early unnecessarily and after 3 days the baby wasn't born. My 5 month old was born naturally as a VBAC with no complications and came on my due date with only 2 1/2 hours labor. There are risks to VBACing and you should be aware of them. But all pregnancy and childbirth has risks. The International Caesarean Network (ICAN online) has many resources. And Ina Mae Gaskin's books also, as previously recommended, are wonderful. Do all your research.

Excellent answer! I too have had a c-section with my first child. She was breech (feet first). I have gone on to have 4 VBAC's. If you desire a vaginal birth you must find a doctor who supports you! And a hospital who will deliver you. Google VBAC and that should start you on you way to locating the friendly VBAC states and hospitals.best wishes!

You definitely can. I had an emergency Caesar for my first one and am going to try natural for this one. If you are worried, talk to your doctor and ask them to check your bone structure to see if it is fine. Mine is, so I am determined to have this one naturally. Don't be scared to ask questions. That's what they are there for. The midwives can really help too. They do their job everyday and see a wide range of circumstances. Just remember, IT IS TOTALLY UP TO YOU!!!

My sister-in-law had an emergency c section at full ditation with her first because the baby was not descending and was becoming distressed.

With her second delivery 18 months later she was so quick that my brother didn't get to the hospital in time. She has gone on to have 3 more VBAC.

On a TV program the other day there was a woman who had a waterbirth, at home after 4 C sections. Just proves it can be done.

BUT a friend of mine ended up with a Hysterectomy after trying for a VBAC after having her twins by C section first time round.

Every one is different.

Please read Birth after Cesarean by Bruce Flamm MD. It has alot of helpful and useful information.

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12y ago

Yes. Most doctors will recommend you have a c- section, but I had a v-bac (vaginal birth after Cesarean section) following 2 c- sections and did fine. The delivery of my third child went very well, without complication and the recovery was much faster and easier.

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14y ago

This is possible, depending on the reasons for you to have had a C-section to start with.

If a long time (several years) has passed since the last C-section, then it is more likely that everything will be fine.

If your pelvic bones are to small/narrow for you to give birth naturally, then there is no reason to think about a natural delivery. (This not excluding other reasons)

Most doctors will advice against it. One of the reasons is that the scartissue formed from the C-section will never be as strong as normal tissue. You might be at risk of having ruptures in the scartissue at time of giving birth due to the enormous strain this is on the muscles.

In Scandinavia they will most likely have you in to hospital approx 2-4 weeks early to perform a C-section and make sure you do not start naturally.

Regards.

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13y ago

Yes you can, without a doubt. I am a doula, and I have seen many, many successful ones!

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12y ago

In some cases you can. Your doctor have to decide if it's for you but many women try that because they feel cheated if the C-section happened in a hast etc.

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14y ago

Yes. Its called a V-BAC (Vaginal Birth After C-section)

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12y ago

depend on the reason why you did have 4 times c-sections. if it is related to your medical problem of giving birth naturally, so you have low chance to do it...

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