VBAC vs. repeat Caesarean

Sophie - posted on 05/19/2010

Well, like I said if the mom or baby are at high risk for complications or loosing the baby then of course get one, I was just saying that if you can avoid a c section in the first place because your not at risk then try so that you don't have to get another one the second time. I just meant prevent it if you can. Since my friend went through this she realized shouldn't of chose a c section so easily because she wasn't aware that there can be complications the second time. I think alot of people are unaware of how dangerous an elective c section can be. But you can't turn the hands of time backwards. For those woman who get c sections when they are not neccesary need to re evaluate. I think it's just to common place nowadays for many, not neccessarily you.

Jennifer - posted on 05/19/2010

Sophie, I am glad that you had such a great vaginal experience, but I can't help feeling that I was the target in your post. I didn't choose to have a c-section with my first but I am certainly glad that I did because if I hadn't my son would not be alive!!! I have no problem with the pain of labor and delivery but I was told by my doctor that I would have to have a c-section with my second (not because he was breech) because I had one with my first and it was for the same reason that your friend had to have a second c-section because of the fear of reopening the old scar and the potential of loosing the baby and/or myself. I would have loved to have both of my sons naturally but not at the expense loosing them.

Liane - posted on 05/17/2010

I believe the main reason for this stat in the states is fear of malpractice lawsuits if something goes wrong. In addition, I've found most OB/GYN's would prefer to "control" the situation by performing a c-section or scheduling inductions so deliveries don't interrupt their lives. Then again, some mom's believe that any risk, no matter how small (less than 1% chance of uterine rupture during VBAC) is simply not worth taking. My OB with my first two children pretty much spelled out the fear of malpratice issue as so many OB/GYN's are no longer OB's because the malpractice insurance is getting ridiculously expensive. Once again, insurance is driving the care we receive as patients... sorry to rant! I've had 3 c-sections, none of which were my chosen method of delivery but once you've had 2 sections it's pretty hard to find a dr who will do a vbac :( I guess I'm still bitter and feel cheated out of a "normal" birthing experience because of doctor's fears of lawsuits!

Sophie - posted on 05/16/2010

http://www.sogc.org/media/advisories-200...
Jenny, here is one link but not the original I had read. Most obstetricians are not trained for breech delivery and only some breech positions are favourable vaginally. But an experienced midwife should have training in breech deliveries as it is pretty common. Ina May Gaskin on Youtube has a great little video on how to deliver breech babes:)

Kylie - posted on 05/12/2010

I'm not sure of the statistics, but I bet its more common in England to have a VBAC. I had an emergency section at 27 weeks. You have to laugh, I was given a leaflet and personalised letter from the NHS primary care trust, 24 hours after Joseph's traumatic birth, urging me to have a VBAC next time.

I have to say I nearly cried laughing. I had severe pre eclampsia, my baby was 1lb 7oz fighting for his life, and some bofiin in an office expected me to have sex sometime again!!!!

Anyway, here you really have to have a case for a repeat c section and they like you to at least try.

I am not having any more children as it isn't wise, so it's a moot point for me. In any case my consultant said I'd be lucky to get to 30 weeks next time and would need a c section anyway.

In a perfect world I would love to try for a VBAC, I really feel like I've missed out.

Amy - posted on 05/12/2010

I believe that some dr's are scared to do VBACS as there are much more risk involved. Many Dr's don't even do VBAC's so they don't even give there patents the option, and in most cases they just go for the c-section.

If I had a c-section for my first I would defiantly be seeking out a good dr who has done several successful VBAC's.

LaCi Who - I've got a few friends who were induced and had no complications. They got the epidural and things were pretty smooth for the most part.

Good Day! - posted on 05/12/2010

How do they (docs and l&d nurses) prevent head entrapment during a breech delivery? After it was all over and I was sane enough to ask questions, I was told that was one of the many things that could have happened and could have caused brain damage to my baby.

Jenny - posted on 05/11/2010

Do you have a link for that Sophie? Is that recent? I was devastated when I found out I had to have a C-section due to frank breech 5 days before my due date. I requested to do it naturally as I was also born breech and my mom had a great experience, said it was easier for her than doing right side up with my brother. I had gone my whole pregnancy preparing myself for a drug free natural birth and then was sprung with quite the opposite while under the influenece of major hormones.

Sophie - posted on 05/11/2010

In my opinion, most women can have uncomplicated vaginal deliveries from the beginning. A very small fraction probably can't for a pretty important reason. In Canada they have now said it's officially not an obligation to have a C- section with a breech baby. I have known a few woman who have had perfect deliveries vaginally with a breech baby. If the mother or baby are in serious harm then I agree with a c section otherwise there is no reason to just want one. What I have learned in my experience is that one thing leads to another. You get induced, the contractions come on way to strong and furious, there is no build up, which is easier to tolerate. Then you want to have a cesarean/drugs because the pain is to much. I think trying your hardest vaginally when the health of mom and baby is the best bet. Also when a baby is born vaginally mother releases certain hormones the baby gets in the vaginal canal which is also important. Recently my friend just had a second emergency c section because the scare tissue ripped open again and she would of died had she gone into labour. No one caught onto this. ONe more reason why vaginal is good in the first place. I had both my children naturally with no pain meds no induction. In order for my pregnancy and birth to go well I prepared for it. I had to educate myself. Pregnancy doesn't require one to sit around and be lazy(some daysit does though lol) it's a time to prepare to give birth and be at one with your child, and your body and make sure they all come together for a good birth. I think to many woman just figure whatever happens happens and don't prepare the body.. But I'm not going to critisize a woman for her choice that's just how I feel . SO go for natural birth first and foremost!!

Marisa - posted on 05/11/2010

to me in my eyse a c-section is the only way to have a baby. i was induced @ 4am on the 28 of dec and 1130 rolled around and still no progress and i said ok lets cute her out so @ 12:28 shw was here happy and healthy. i was up walking around bending over the next day. i saw no need to lay there in pain any longer than i had well it really was not pain i prolly only had like 4 strong contractions. but any ways it was a good thing i did her cord was arround her neck and the doc said it prolly would have tighted up as she came through. so c-sections all the way!!!!

Mary - posted on 04/22/2010

Sarah, you are far from a freak!



A friend of mine had two horrendous vaginal deliveries...a shoulder dystocia with her first and a fourth degree tear, and (despite an amnio at 36 weeks for lung maturity, followed by an induction 2 days later) another 4th degree with her second. Her recoveries were AWFUL. When she got pregnant with her 3rd, her doc told her flat out that if she wanted another vaginal delivery, she would have to go to someone else (she's also an L&D nurse, and her doc a friend of us all!). She was terrified of a section, but more terrified of another destroyed bottom.



After she had the section, she could not get over how much EASIER her recovery was, and wished like hell she'd been sectioned with the first two! She was up and about within 2 days.



My sister also had 2 sections, and didn't find recovery any more of an issue than I did with a second degree tear. We both had some discomfort - they were just from different sources!

Sarah - posted on 04/22/2010

Yay for the C-section freaks! LOL! :)

Jennifer - posted on 04/22/2010

My first c-section was an emergency and my son would have died without it. I was very disappointed when the doctor told me I had to have a c-section with my second but I quickly got over it because we got to know the date ahead of time to plan, then it turned out that he was breech so I would have had to have a c-section anyway. My second c-section went great, no pain, 3 days later I was sitting at my older sons baseball game, up and down the stairs doing the laundry, back at work part time after 10 days!! Someone earlier mentioned having trouble nursing after a c-section, I breastfed my youngest with no problems!!

So Sarah if you are a freak so am I!!

LaCi - posted on 04/22/2010

Yeah it was way easier than I expected, you aren't a freak lol. My mom went back to work shortly after her c section because it never bothered her. Doc told me *don't lift anything over ten pounds* what about the kid? lol he said nothing but the kid ;) Having my tonsils removed a year later was 100x worse than the csection recovery, I inadvertently got hooked on hydrocodone with that and had to wean myself off it, hardly used it at all with the c section.

Sarah - posted on 04/22/2010

Hahahaha Amanda! I had to send my husband out to buy me a special cushion to sit on after my eldest was born! I had forceps and was torn quite badly......bloody agony! Amazing what you can get through eh?! :)

Amanda - posted on 04/22/2010

lol i went vaginally and it hurt to sit or stand up too quick for quite a while... i tore though, maybe thats why... i also didnt let it hinder me doing anything though, i sucked it up, and went about my day, people thought i was crazy cuz i was driving around on my own the day after i got out of the hospital. it was very boring sitting at a hospital for so long, i wanted to go go go, whether in pain or not. i just sat down and stood up very slowly and didnt sit on anything hard.

Sarah - posted on 04/22/2010

Phew! Started to think i was a freak for finding it easy! haha :)

LaCi - posted on 04/22/2010

My c section recovery was a piece of cake. I was never in pain, I was up and about doing anything I wanted as soon as I got home, and I didn't need the pain meds they gave me.

Sarah - posted on 04/22/2010

My eldest was "sunny side up" or back to back as they called it.
I delivered vaginally, but my god it was painful and very traumatic! I was in hospital for 7 days, had to have a blood transfusion and couldn't even look after Cadence for the first 3 days. She was mostly in the nursery bit.

My youngest was an undiagnosed breech, so had an emergency C-section. I recovered SO much better from that! Was out of hospital in 2 days, had baby with me the whole time and was up and about doing all the normal stuff WAY quicker.

I guess it all depends on the person really. That's why if i were to have another (which i'm not! lol) i would probably go for another C-section, because my experience was so much better than my vaginal birth. Maybe i'm one of the few who experienced it that way, a lot of people seem to have hated their C-sections.

Really, i don't think it matters if you have a repeat C-section or a VBAC. Do what you all think is right for you and baby. So long as Mum and baby are healthy, that's the main thing :)

Leah - posted on 04/21/2010

I just don't know why anyone would opt to have a c-section..I watched my sister in law recover from a c-section becasue my nephew was "sunny side up" had he been born vaginaly he would have come out facing the dr rather than the floor.so she had to have a c-section and watching her recover from this was just awful she could not get up or down by herself or stand up straight and she hurt for weeks.So when it came time for me to give birth I was completly aganist a c-section unless the baby or I was at risk.I did give birth vaginally and about 3 hours after I had the baby I was up taking a shower and walking around I felt great. I just can't imgaine having to recover from a c-section and take care of a newborn.

Kara - posted on 04/21/2010

I had to have an emergency c-section after they tried to induce me two weeks early cause my son was so big and I ended up with all kinds of complications. I think that being induced early was my biggest problem...I never dialated past 3 centimeters and he never entered the birth canal and my milk didn't come in for 3 days thus he ened up under th Billi light. If I hadn't been induced I wouldn't have had those problems but I would have still ended up with a c-section proabably cause he was so big. I have no chance for a VBAC though cause my incision is the up and down kind cause the doctor who did it was a million years old.

LaCi - posted on 04/21/2010

you know, I honestly didn't realize there were hospitals in the US that weren't prepared for emergency c-sections. ;/

Amy - posted on 04/21/2010

I had pretty much the same situation. I was going to push and they're like, stop stop, she's breech. gr. I LOVED my vbac!!!! They aren't as common in the US because they are so worried about a rupture or if a hospital is too small they may not have the staff needed for E c-sec - that's the bs they gave me. I had to go to a larger town/hospital. I think some women do it because it's familiar and because it's a timing issue - they like to know when baby will be here. But I had so many problems with c section and couldn't be without pain for weeks. I was walking all around an hour after I had my son via VBAC. I was like - wow, i could have hundreds of kids like that!!!! With my c section, i had problems like mad - including not able to make milk. I was dripping like mad with my son. I think having a natural birth helps put your body in track for motherhood. Call me crazy, but I loved it. And since my epidural did NOT take, I know I could do it totally med free next time. I felt complete after a vbac. I felt like a failure after csection. especially with all i learned later that mine could have been avoided.

Good Day! - posted on 04/20/2010

Ashley, you are NOT selfish, opposite of it! We have to make the choices that are the best for our families.

The point behind the thread is that I was just so surprised at the low number of VBACs in my state last year. I would have expected that more mothers would opt for them. I guess I'm a minority in that sense.

Thanks for responding. =)

And yeah, I was not keen on taking those pain meds either. My abdominal muscles didn't really bother me, but my husband who is a nurse, lectured me daily about the proper way to sit up and bend over, blah blah..lol! I guess he kept me and my abs healthy!

Ashley - posted on 04/20/2010

Sara, I hated my c-section, but only because of my restrictions and pain meds. I don't feel like I didn't bond with my son, he is my life and my heart ached the moment I heard him cry.
I would have liked it if my OB had told me I was a candidate for VBAC, but I'm not. Is it selfish of me to not go to a high-risk hospital to attempt it anyways? My reasons for not going there would be it isn't close to home/family, and I love my OB.
My mom had a c-section, so it was nice that she understood what I was going through. Especially with my dad being "concerned" about me taking my pain meds (I can only take the minimum or else I feel fuzzy) when I had it...he didn't seem to understand that your abdominal muscles do a lot! Luckily my hubby set him straight. :)
Sorry, I went a little off course there. :)

Good Day! - posted on 04/20/2010

I am very grateful that my baby was delivered safely through c-section. After my section I did research on delivering breech and "discovered" head entrapment and other things that could go horribly wrong. I don't want to ever seem like I'm complaining about my c-section as it very possibly saved my child's life.

But I would just like to experience childbirth the way it was meant to be. That is why I'm so gung-ho about having a VBAC, as long as it's safe. Plus a vaginal delivery is better for the baby and means a shorter recovery for me. But if this next child has to be delivered via c-section, I would be okay, because I trust my doctor to make the best decision for the health of me and my baby.

And no one in my family had a c-section. My paternal grandmother delivered my uncle breech. I did however labor very similarly to my mother; until the emergency c-section.

Mary - posted on 04/20/2010

Shavaune - absolutely...we DO inherit more than just our hair and eye color from our parents! Women often do follow in similar patterns, labor-wise, as their mothers, or grandmothers.



And yes, 100 years ago, women and babies die in childbirth. C/Sections are not the big, bad ugly that many people make them out to be. I for one am so very grateful to be working, and birthing in a world where that is an option.

Brandi - posted on 04/20/2010

It may be a false hope, but I'm really hoping my next pregnancy is different and the baby drops into my birth canal and I progress. Isla didn't & I know that makes it more likely the next baby won't. I just try to be positive. I know I can't emotionally go through another c-section. It doesn't bother some people, but I think it ruined my birth experience which was important to me. I want to push my child out and have him or her the way nature intended me to. I honestly think that if it came down to choosing to have another baby by section or no more children at all....I might choose the latter.

LaCi - posted on 04/20/2010

Makes sense. My mom had to have an emergency c section with me because I wouldn't come out after days of labor and meds, mine wasn't coming out. Although I don't htink my grannie had a problem. I don't doubt that theres something genetic going on though..

Shavaune - posted on 04/20/2010

lol Ya know that makes me think though. When a woman back in the day before c-sections couldn't give birth due to a "crap cervix" she most likely would have died. So now that there are woman giving birth via c-section thats not a problem anymore. However are more woman inheriting that trait from their mothers? Maybe its partially a genetic thing that is getting passed down more and more as woman who have that problem have children and they have children etc. Does that make sense?

LaCi - posted on 04/20/2010

"However, if you're starting with a crap cervix, the odds go up substantially that a C/S will be the final outcome. "

lol. mine's broken I think. *crap cervix* made me chuckle sorry. ;D I'm a defective incubator.

Shavaune - posted on 04/20/2010

Well I'm a Canadian and have had 4 kids. 3 were induced, (my first was a very slow progressing labor of 73 hours) and the word c-section was never even mentioned to me. In my home town there was no option. C-sections were done for emergencies only. It could be a liability thing. You pretty much can't sue a doctor here unless its for gross negligence. Or it could be a cost control issue. Having a baby VBAC has to be alot cheaper than a c-section. Or a combination of both maybe?

Mary - posted on 04/20/2010

http://www.facebook.com/l.php?u=http%253...



Sarah, here's another similar article. I was familiar with the NIH findings, and one of the Doc's quoted in this article (Judy Rossiter) is a perinatologist, and the Chief of OB where I work.



We are a hospital that strongly encourages VBAC's, in large part because of Dr Rossiter's strong influence over all of our OB's with privileges. However, there are a large percentage of patients who refuse to even consider it, for whatever reasons. That is their right, and I do support a woman's right to make an informed deciscion about whether to attempt a VBAC, or have a repeat c-section.



Pitocin CAN safely be used with VBAC's, but it is certainly preferred that they go into labor on their own.



As for some other's comments about inductions...as an L&D nurse, I chose to be electively induced at 39 4/7. They reasons were varied and complicated, but I only made that choice after a vaginal exam the week prior revealed my cervix to be favorable (2 cm's, 80%, effaced, and -1 station). My labor was less than nine hours, and I only pushed 5 times to deliver a healthy baby girl.



Inductions done RIGHT are perfectly safe, and have good outcomes. However, if you're starting with a crap cervix, the odds go up substantially that a C/S will be the final outcome.



And, Sarah, I think I've told you this before, but you are the PERFECT candidate for a VBAC, and your odds of success are high! =)

Amanda - posted on 04/20/2010

I didn't even realize you could have a natural birth after a c-section until the other day when I was watching one of the baby shows on TLC... I don't think it's that commonly known and I think because of the risk of the previous scar being torn open, a lot of doctors maybe don't bring it up (in the u.s.) Although, I was lucky enough to be able to deliver vaginally, so maybe I just haven't heard about it because it's not an issue as of yet for me. My mom had a c-section withmy brother and I both, and cried when she found out I'd be able to go natural, I didn't realize she had had worries about it, it honestly hadn't even occured to me that I might've had to get a c section for any reason lol.

Jenny - posted on 04/20/2010

My daughter was a frank breech so i had a planned Csection. With my son, my doctor gave me the option and there was no pressure. I thikn you might be on the somethnig with the malpractice thing Kati. I chose a second Csection for a few reasons, the main one being I wanted a tubal ligation while I was opened up anyway. I also knew what to expect with a Csection and I was not prepared to accept the risks a VBAC could bring.

I was on my feet by afternoon after both Csections and was in my regular schedule three days later. I was only in the hospital for 21 hours with my second Csection before I got to go home. Couldn't have planned it any better myself lol.

LaCi - posted on 04/20/2010

My doctor didn't want me to have a c section, i don't see it as something that is pushed on women at all. When he was breech we scheduled the csection, when I went in he had flipped over so we cancelled. When I was showing no signs of going into labor, giant fetus in my rib cage he gave me the option and I chose the c section-not him. The cord was wrapped around his neck several times so in the end the doc agreed with my decision, but by no means did he lead me toward that decision. The only decision he warned against was trying to turn nico when he was breech, which I wouldn't have done even if he had tried to convince me to. I had told my boyfriend the cord was around his neck long before that. So I wanted my c section, my decision.

Lady - posted on 04/20/2010

Probably something to do with the NHS having to pay for them rather than insurance companies, plus most babies are delivered in the UK by midwives rather than doctors so are more willing to let the woman decide and they know it's a natural procces. Doctors always seem to want to do thing the invasive medical way - it's an interesting comparison.

Jennifer - posted on 04/20/2010

I've done a bit of research and in the UK over 80% of women have a VBAC.

Stephany - posted on 04/20/2010

I had an emergency c-section with my first son that saved his life. His cord was wrapped around his neck 3 times and had we continued with a vaginal delivery he would have died. I had been in full-blown labor for close to 24 hours by then. I was exhausted! We conceived my youngest son 9 months later and we were told that 9 months between birth of one and conception of another is the minimum allowed for a VBAC. My doctor agreed, at the beginning of that pregnancy, to allow a VBAC. However, I had an ultrasound at 32 weeks that showed my baby was going to be very large (not a crazy notion considering my first had been over 4 weeks early and 8lb, 4oz), so my doc told me I had to have a scheduled c-section. I ended up going into labor and by the time they wheeled me into the OR I was almost 9 cm dilated. My baby was only 8lb, 4oz (same as his brother!) and I was (and am) angry that they didn't allow me a VBAC. My son was born healthy, and I guess that's the most important thing, but I feel as though I missed out on a vaginal birth. I had my tubes tied and a hysterectomy last summer (ovarian cancer), so there are no more chances for us.
I have been told by a friend who lives in the UK that I would have had a VBAC no problem in most other countries. It's sad that here (in the U.S.) our doctors and hospitals are so happy to go to c-sections because they cost more money. Very sad, indeed.

Jennifer - posted on 04/20/2010

Yes Gillian in the UK they actually promote having a VBAC. My mother-in-law had to have a caserean with her first (my husband) because he was breech and then went on to have 3 vaginal births. My mam had to be induced with my sister as labour stalled and she said the only difference between labour with me and my sister was that the contractions were stronger with my sister. If there's no medical reason for having a caesearean then I don't think you should have one.

Lady - posted on 04/20/2010

I think if you had the need for a c- section the first time it's more likely that you'll need a c- section again, but I'm pretty sure all midwifes in the UK would be willing to let the mother go for a viginal birth after c-section if that was what they wanted but would want then to be aware of the posability if things didn't go acording to plan then they might well have to have another c-section. All my children were delivered vaginally and two were induced with absolutley no problems. One was because my hind water broke and then nothing else happened and they were worried about infection, the last was two weeks over due. the first time I just needed pessaries then she came ouit no bother, the last needed the drip, I've had pethadine with all births and can honestly say the induced births were hardly any different to the non induced births - the contractions came on a little stronger quicker but in the end all four were pretty much the same.

LaCi - posted on 04/20/2010

The fact that 40% only manage to delivery naturally via VBAC is enough for me. My kid may have been dead, possibly braindead had I tried to inducing ordeal. No freakin' way. I'll take my C-section anyday. Personally I feel the reason risks for C-sections are so high is because they never differentiate between planned and emergency c-sections.

Sarah - posted on 04/20/2010

I had an emergency C-section with my youngest as she was an undiagnosed breech.
My eldest i had vaginally, but it was AWFUL! She was back to back (my kids just hate being the right way round! lol) i was REALLY ill having my eldest, blood transfusion etc.
So, as my recovery from my C-section was so much easier and less traumatic for me and baby, if i were to have another, i would probably opt for another C-section.

As i'm not planning on having any more though, i don't have to decide! :)

Jennifer - posted on 04/20/2010

Over here in the UK we get free healthcare on the NHS. VBAC is what most mothers have. Caseareans are only performed if the baby is breech or in an emergency. If a woman wants a casearean because she just wants one (lazyness if you ask me) you have to go private and even then I'm not sure if they would let you have one. I had a vaginal birth with my son and hope I can have one with my second child too. Sara over here if you go overdue you are induced for a VBAC so doctors knowledge in different countries must differ vastly! Over here in the hospital I went to only 40% of women deliver naturally vaginally wihtout any sort of help such as forceps etc. which is lower than I expected, but they are doing a lot to try and raise that percentage.

Teresa - posted on 04/19/2010

Neither of the hospitals over here are equipped for VBAC, so I really have no clue what I would've chosen if I had a choice.

Good Day! - posted on 04/19/2010

Any Canadians want to weigh in on what Kati said about universal health care?

LaCi, from everything I've read and according to my doc, the chance of uterine rupture is only 1%. He said that he and the surgery team will be on hand during my entire labor to take me for c-section in the rare case that something goes wrong. I feel okay with it. But I would have to do more research on the inducing with pitocin risks. I'm sure the risks are different than a natural labor.

Ashley - posted on 04/19/2010

My son was frank breech and a month early, so I had a c-section. He will be 18 months old when our new baby will be born. My OB said I was not a good candidate for a VBAC unless I went to Seattle to a high-risk hospital. I don't live that close to Seattle and I love my OB, so c-section it is. I was a little bummed, but now I'm okay with it.
I am lucky that my hubby will take off a week, and then my mom will take off a week after to help. That is really the worst part, since I'll need help with my son. I heard the second time around for c-section is easier, so I'm not too worried. :) Besides, this time it would be nice to not even go into labor (I had five hours of pure back labor hell until my c-section). However we will see if I make it to my due date of September 27th. ;)

Rosie - posted on 04/19/2010

i think it's because in the united states doctors are so afraid of being sued for malpractice that they want people to go the route that is deemed "safer" (although personally i don't see how major surgery is considered safer). i think we all expect natural birth to be safe, and when something goes wrong, it MUST be the doctors fault, he KNEW that this could happen and yet still allowed me to go the natural route.



i wonder what the statistics are in other countries that have universal healthcare, i think it would be alot different.

LaCi - posted on 04/19/2010

Pitocin is considered safe for VBAC, not in my eyes, but most doctors would be okay with it, the main risk was with the old incision style, with the low incision apparently theres less chance for rupturing so they don't discourage it anymore. I still do though ;)

Good Day! - posted on 04/19/2010

LaCi, according to my doctor you can't induce with a VBAC. You have to go into labor naturally. I did naturally go into labor with my first, but the reason for c-section was that she was breech. My doc told me that I was a good candidate for c-section because I did progress naturally in my labor and the chances of future babies being breech were slim. My best guess is that if you had to be induced, you wouldn't be a good candidate for VBAC.