Is a VBAC After 3 C-secs Possible?

Cynthia Flynn's picture
Experts: 

QUESTION

Dear Midwife,
I was just wondering what your thoughts are for VBAC's. I have had 3 C-sections and I am now pregnant again with my fourth. My first c-section was because I had high blood pressure. My second and third c-sections were because the doctor said that he doesn't think VBAC's are safe. So I listened to him.

Now after reading TONS of material on VBAC's, I now know that they are very possible. But what about after 3 previous sections? My scar is across, not up and down. The doctor said that my scars healed very well. But he did say that my uterus is staring to get thin. What does that mean?I no longer see the same doctor. Could you please give me some advice and my possibilities? Is there even a chance for a VBAC? Any help would be great because I would like to experience a natural childbirth. (I am 5 months pregnant right now.)

ANSWER

The American College of Obstetricians and Gynecologists recommends against VBAC for those who have more than two prior cesareans, and they are extremely cautious for those who have had two. It would probably be very difficult to find a provider who would do one given the litigation environment these days. If anything happened and you or the baby died, the provider would not have a leg to stand on.

-- Cynthia, CNM