if you are on the fence about working your ass off for a vba3c, think carefully about the risk you are undertaking from laboring against a 3 timed opened uterine scar. having seen some devastating effects of uterine rupture recently. you aren't the only one in this scenario, you have 3 other children who benefit from having their mother? and a new child coming. some uterine ruptures you come out okay, some uterine ruptures. not so much. maybe i'm being scary.
what are the specific reasons you had previous sections? sounds like from what you said that your babies are big, possibly too big for your body. i know women can give birth to big babies. have seen it happen, have also seen vaginas blown out so badly that if it was me i'd have taken a very unwanted c/s...
but maybe, your particular bone structure might not fit, after 3 times it didn't work...... there are reasons women with out access to healthcare have give birth to dead babies and develop fistulas. birth is natural. but sometimes. it doesn't work.
again. just the risks? is what you want, a vaginal delivery more important than a healthy baby? recovery after a c/s is also easier if you haven't labored for a day or two first. and to be fair. i also think in most cases the waiting for labor to start, for a few hours, maybe, if you've had monitoring of your scar.. and they think its not likely to rupture. but every c/s you have the next pregnancy is more high risk. we have to class you in a different risk category in the hospital if you are on your 3rd or 4th c/s. or even more than that.
lying to your doctor is stupid, should something happen, you want your doctor and care providers to be equipped to properly deal with that? because. as a care provider. i like to know if you are 4 times as high risk.
but where i work, there would be many fewer nicu admissions, and maternal hemorrhages if we did fewer tolacs, tola2c, and that trainwreck of a tola3c.