Any thoughts, suggestions, words of encouragement?
(P.s.-- on my phone... It's a lot harder to type in a forum than text! Lol.)
I think you have a lot going in your favor for a UC, but it sounds like there are a lot of potential drawbacks, as well.
The first thing I would consider would be the reason for your previous CSs. Was it a medical need with the first, then the inability to find someone who would be supportive of VBAC? Or have there been multiple medical needs? Also, because each subsequent CS does more damage, VBA3C is definitely riskier than a VBA1C.
I would be very nervous, in your position, to UP/UC. You mention that the doctor actually discussed UC with you – is it possible or would he be willing to provide pre-natal care to keep you informed of any issues that might arise in pregnancy, then to UC? Or is this too great a liability to him? Obviously it could simply be stated afterward that you didn’t make it to the hospital in time/refused to go to the hospital, and would never have to be formally indicated that the UC was intentional.
With that said, I think you do stand in a very good position since your husband is a trained EMT and also has had experience with delivery. While it is obviously not the same as having a childbirth professional, your husband would also have at least some knowledge (and possibly, experience), on techniques like infant resuscitation/etc. that perhaps even a midwife might not have. And also possibly more knowledge on recognizing/treating hemorrhage or other complications. Is he also a driver? I would find the training as an emergency driver to also be of great benefit, as instead of waiting for an ambulance, you’d have someone available who was familiar and could be somewhat more safe with emergency/speed driving if you absolutely needed to attempt a transfer for any reason.
I can see myself making a similar decision, as I am very much anti-intervention. Those are simply my thoughts on the issue, and I hope that they are simply topics for thought and not seen as a discouragement.
Best of luck to you and your growing family!
Ilybats, I can say with that history of CS, I'd be pretty tempted, myself. An hour of pushing most definitely isn't out of the range of "normal" birth, especially with a first pregnancy, and it seems that you were never given a previous chance at VBAC. With that information, it seems to me that there's been no real risk in previous pregnancies.
It sounds like you have really thought it out. This is one of those rare circumstances where I would say an ultrasound is a good idea. Thank goodness for that doctor.
It's great your hubby has experience. Trust your body and your instincts. If you need help get it, but I bet you can do it. I'm really looking forward to getting exactly the birth you want.