After my 2 c-sections, my local hospital also told me I was "not a candidate for a trial of labor" based on ACOG guidelines. I did the research, concluded that a 3rd c-section was far more dangerous than a VBA2C, so I refused to schedule a c-section. I wrote a letter outlining my case, and ultimately, they agreed to allow me a trial of labor.
As it turned out, I ultimately decided to go for a homebirth, I felt my chances of success were greater. I had a wonderful homebirth VBA2C two and a half years ago. I just had another great VBAC six weeks ago at home.
There was a very recent study out showing that VBAC after three c-sections is no riskier than after one c-section. In addition to finding that recent info, here is a note I wrote to another mom awhile ago that may have some useful information.
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please don't just let them tell you you are required to have a c-section. Consumers must demand change:
I assume you are receiving care from an OB currently. Unfortunately, he can drop you from care if you are less than 36 weeks if you don't follow his plan. But when the time comes to schedule, you always have the right to refuse.
In the meantime - does your local hospital "ban" VBA2C? If so, start with them - write a letter to the Chief of Staff, Chief Compliance Officer, Risk Manager, Head OB, and head nurse for labor and delivery. Let them know you have done the research and found that the risks of another c-section outweigh the risks of a VBA2C so you will not have a scheduled repeat c-section. Ask them to meet with you and set up a special informed consent form for you to sign so that everyone understands that you do not agree to a repeat c-section.
Even if you don't plan to go to the hospital, you never know what may happen, it doesn't hurt to at least get the hospital thinking about what to do when VBAC moms refuse c-sections. I had a friend trying for a VBAC who shattered her arm late in pregnancy and had to have surgery, she was a little concerned they'd just do a section at the same time - so again, you never know what may happen.
Suggested information to include:
I
am planning a vaginal birth at (hospital) sometime in (month). I have had two previous c-sections, and
have decided, after reviewing all of the medical literature, that a VBAC
birth is safer for me than scheduling a cesarean section. I have received
excellent prenatal care during my pregnancy, and I have been looking very
forward to my VBAC birth at (hospital). I sincerely hope that you will
support and assist me in having the best vaginal birth possible. I am
writing to request a meeting to review the following things:
1. I want to ensure that the VBAC policy at (hospital) is supportive
of VBAC births and the rights of pregnant women to make their own birth
choices.
2. I want to request that (hospital) draft a formal policy statement
that under no circumstances would staff pressure or coerce a woman to
undergo a cesarean if she has made an informed refusal for surgery - in
other words, it is important that there is no policy stating that women with
more than one c-section are "restricted" from having a vaginal birth.
3. I want my medical record at (hospital) to be clearly marked that
I have already made a fully informed choice to refuse a cesarean, and that I
do not intend to argue or fight with staff about a cesarean when I arrive in
labor to vaginally deliver my baby.
4. I want the enclosed medical literature showing that a VBAC birth
after multiple cesarean sections is safe (my risk of uterine rupture is less
than 1% if I am not induced), and that my risks from a third cesarean are
high, making a cesarean risky and dangerous for me to be placed in my chart
so that all hospital personnel assisting with my VBAC know that I have been
fully informed of my risks. I am truly scared of the risks of a third
cesarean, my risk of death is much higher with a cesarean than with a
vaginal birth, and I cannot undertake this risk for me or for my other
children unless some emergency warrants it (cord prolapsed, placental
abruption, etc.). It is my hope that if the staff understands my concerns,
everyone will work with me to ensure I have the best vaginal birth possible.
I thank you very much for your time in reviewing the enclosed literature and
for considering my concerns.
I hope that once we meet, I can rest assured that policies are in place
that support a woman's right to VBAC, and that no woman will have to face
pressure to have a cesarean after they have made an informed refusal for
surgery. After knowing that (hospital) will be supportive of my VBAC, I
will be able to just focus on having a healthy pregnancy and preparing for
my upcoming vaginal birth at (hospital). I appreciate you
making time in your busy schedule to discuss my concerns, and working with
me to ensure I have the best birth possible at (hospital).
Sincerely,
Here is the suggested literature to include:
http://medicalcenter.osu.edu/patient...press/?ID=2835http://www.greenjournal.org/cgi/cont...tract/108/1/21
See if you have a local Certified Professional Midwife nearby. 
