A.,
I am a mom of 3 grown girls (well, lost middle one in a horrible accident at age 21), but about the vbac/c-section options...my first TWO were born by c-sec; the 3rd, a vbac. All were planned "natural" as can be. For many reasons, I thought it the best way to go: best for baby, normal for baby to go through birthing, not normal to go through surgery of mom with medications, etc., not great to have surgery any time because of scar tissue, possible adhesions later in life. I think going with Mother Nature whenever possible is always the best option.
My first was taken by c-sec after I was only a few cm dilated. There was meconium. They said she was in fetal distress. Her heart rate wasn't good; the cord was around her neck twice, etc...disappointment after a lot of planning with midwife present in hospital, etc.
Second time; a planned vbac; saw no reason not to try again. Researched a lot; attended a class on vbac; even concerns some had about uterine rupture at the time (this was back in 1986) were found to be minimal and I'd be at a good hospital, etc., etc. I wasn't worried about it. My progressive doctor said they found that many women who went into labor with 2nd baby, after c-sec the first time, (many of whom planned c-sec for the 2nd birth) had such easy labors and deliveries, they didn't even have time for c-sec. That's when case against probable uterine rupture went out the window. But, with my 2nd, after many, many hours of labor and 3 hours of pushing, I just couldn't push this 8lb12oz baby out. I finally begged for a c-sec. They called it a few things...cephalo-pelvic disproportion (my babies did have large head cirumference), and/or maternal fatigue. Whatever it was, it was very disappointing...a lot of work for another c-sec.
Third time around, after researching even a little more, I again saw no reason not to try for another v-bac. This time I had another long labor, not quite as long and difficult as #2, but again, I had trouble pushing this baby out and I finally begged for a c-sec. They told me ok, then had my very progressive doctor come in and he encouraged me to do this vaginally since the baby was "almost out". Well, with extra numbing meds (locally, not full epidural), and a little help from a vaccuum suction gadget, I managed to push her out. I did have quite a tear and, to be honest, the recovery was not easier than after the c-secs, but would I do it again? yes, absolutely.
It is a normal, natural process. It is meant to be that way. I'm trying to remember the name of the book I read at the time, which was the best resource I found. The author was actually the woman who ran the vbac class I took; I believe Nancy Cohen was her name. She was awesome. I must say I also was encouraged about this by my sister who is an experienced RN and also ran a few sessions of natural childbirth classes herself.
My oldest was born in Houston, TX. My 2nd, Newton-Wellesley Hospital in Mass; my 3rd Malden Hospital, in Mass. I've been out of the loop recently on the subject and am wondering if hospitals/doctors are more open to vbac options now, but those I had were considered kind of unusual/maverick at the time. I'd be curious what's out there now for options.
Write back if you want for more info. Otherwise, go for it. You could have a much easier time of it than I.