With my first son I had a failed induction 10 days before my edd. They thought he was closing in on 11 pounds and wanted him out. They gave me the options of immediate csection, induction, or waiting till he got bigger and doing a csection. He wasn't engaged and my cervix was showing no signs of being ready. I didn't respond to the cervadil, they broke my water, and 16 hours later offered pitocin. I wasn't allowed to eat, was only dilated to a 2, and only had 8 hours left according to their clock. They were also very concerned that his shoulders would get stuck since he was so huge. So we ended up with a csection and an 8 pound 14 ounce baby. Everyone was healthy, so that was good. I used CNMs for my prenatal care and had planned to use their birth center. When they got the results of my sizing ultrasound at 38 weeks they decided I was too high risk to deliver there and I ended up in the hospital. I don't really have a lot of negative feelings about my birth. It is what it is and I can't change what happened.
HOWEVER. This time, I don't want a csection unless it's absolutely necessary. I'm really fortunate in that I have lots of options. I can use the OB who did my csection. She is very vbac supportive and has had 3 herself. Or, I can use the same CNMs. Since I would be vbac they require me to labor and deliver and in the hospital rather than their birth center. Since they are employed by the hospital they have rights. My CNM with my first actually delivered Logan out of my tummy during the csection. My 3rd option is a homebirth with a midwife. Since my first csection wasn't an emergency and I healed well, I have already found 3 who would support my homebirth, even being 30 minutes from the hospital. I am only 2 blocks from the firestation and EMTs. My 4th option is a free standing birth center with CPMs. I haven't talked to them yet, but their website claims they are very supportive of vbac as well.
My #1 goal is to avoid unnecessary csection. I love the idea of being home for the birth and recovery. I love the idea of being released shortly after birth from a birth center. Our hospital is even ok. It's brand new (opened the weekend after my 2yo was born) and now has wireless AND waterproof fetal monitoring as well as a jacuzzi in every room. And no more shared recovery rooms. They didn't pressure me about the hep b vax or circumsision. The breast feeding rate is so high (well over 90%) that the formula companies don't even bother with the freebies. However, it was really fear and a lack of patience that resulted in my first csection.
So... any thoughts? I want to put myself in the safest situation possible for my current family. I really believe that part of that means avoiding a csection and the extra recovery from it if at all possible.
HOWEVER. This time, I don't want a csection unless it's absolutely necessary. I'm really fortunate in that I have lots of options. I can use the OB who did my csection. She is very vbac supportive and has had 3 herself. Or, I can use the same CNMs. Since I would be vbac they require me to labor and deliver and in the hospital rather than their birth center. Since they are employed by the hospital they have rights. My CNM with my first actually delivered Logan out of my tummy during the csection. My 3rd option is a homebirth with a midwife. Since my first csection wasn't an emergency and I healed well, I have already found 3 who would support my homebirth, even being 30 minutes from the hospital. I am only 2 blocks from the firestation and EMTs. My 4th option is a free standing birth center with CPMs. I haven't talked to them yet, but their website claims they are very supportive of vbac as well.
My #1 goal is to avoid unnecessary csection. I love the idea of being home for the birth and recovery. I love the idea of being released shortly after birth from a birth center. Our hospital is even ok. It's brand new (opened the weekend after my 2yo was born) and now has wireless AND waterproof fetal monitoring as well as a jacuzzi in every room. And no more shared recovery rooms. They didn't pressure me about the hep b vax or circumsision. The breast feeding rate is so high (well over 90%) that the formula companies don't even bother with the freebies. However, it was really fear and a lack of patience that resulted in my first csection.
So... any thoughts? I want to put myself in the safest situation possible for my current family. I really believe that part of that means avoiding a csection and the extra recovery from it if at all possible.










I'm 20 weeks now - have a T incision from my first and am working HARD to avoid a cesarean. I'm more of a "red flag" than you b/c of the T incision - hard to find good/easy hospital support. That said - as others said - of course it is absolutely ONLY your decision and comfort level - I'd just say make it a researched choice and then go with your gut!!
For what it's worth - in the LOTS of VBAC research I've done, I did read repeatedly that NOT going w/the same provider and institution is BIG in getting your VBAC. "If it were me" I honestly would feel that way...but again, it doesn't "really" matter what anyone else thinks - but personally I'd avoid the same setup - even if you personally feel good about how your first birth went. I'm sure you've done enough VBAC research to know induction/pitocin is absolutely BAD for VBAC's/possible rupture - so to avoid that. It sounds like your LUCKY w/your options. I hope you make a good informed choice and have a GREAT BIRTH!!! 
