Congratulations! How exciting! Kudos to you for following your intuition!
The American College of Obstetricians and Gynecologists published a new position paper on VBAC in November, 2010. The new guidelines are much, much more liberal. This is based on both new evidence supporting the safety of VBAC and new evidence documenting the dangers associated with c-section. This is really, really positive news for VBAC moms, and for VBA2C moms, too! The new guidelines support VBAC, VBAC with twins, VBAC with unknown incision type, and VBAC when emergency surgery is not immediately available.
Is it OK if I offer some suggestions?
1) Do everything in your power to optimize your pregnancy. Particularly, pay attention to your nutrition, and more than anything else, it is important that you exercise regularly. You don't have to exercise hard! A twenty minute walk 5-7 days a week will dramatically enhance your VBA2C!!!
2) Think about your last birth. What happened? What did you like? What would you do differently if you had it to do over? What was helpful to you? Do you have any unresolved feelings about the c-section? Do you feel you understand the reasons for the c-section? Find someone to talk to about this. Maybe an experienced doula or a midwife. Or a therapist, or anyone you trust.
3) Get a copy of your medical records from your provider. Many c-sections are performed for reasons that do not tend to reappear in subsequent pregnancies. If your c-section falls into that catagory, that would be good to know. For example, baby's position, prolonged rupture of membranes, fetal distress, etc.
4) Many of my VBAC clients feel some anxiety in labor until they get past the point where the c-section was recommended from the last labor..... (did that make sense?). So, I recommend that you maybe visualize yourself getting past that point in labor. Guided visualizations and hypnotherapy would be really helpful for that.
Best of luck to you! I am totally confident that this baby will come out vaginally!
Licensed homebirth Midwife