Does it mean once I have a c-section I will not be able to deliver normally in my next pregnancy?
It all depends on why you had a section previously and
the number of operations you have had before and the
type of incision made. Further, the vertical scars from
incisions made today are much stronger than those done
in our mothers' time. With a second pregnancy a vaginal
birth after cesarean or VBAC is relatively safe as the
risk is very small (1 chance in 200 of a tear). The
risk rises when more sections are performed. In a VBAC,
though no different from a vaginal birth, careful monitoring
of the labor is undertaken by the medical staff to rule
out any chance of tearing. Should there be any situation
warranting for a section, preparation and resources
for an emergency cesarean should be made available within
30 minutes. Take note that some doctors are reluctant
to attend to a VBAC and therefore you should check for
a physician who is willing to go along with your choice.
A successful VBAC depends on your history and you are
most likely to face success if your pregnancy is without
complications, you are younger than 40, labor begins
naturally between weeks 37 and 40, the reason for the
previous section (e.g. a very contracted maternal pelvis)
is not recurring and you have had only one cesarean
before with a low transverse uterine incision.