Mary’s 1st baby was delivered via c/section due to the baby being in the breech position. She is requesting a VBAC (vaginal birth after c/section) for this her second baby. By ultrasound this baby is in the vertex position. In reviewing the postoperative report from her first surgery – it is noted that she had a low transverse uterine incision.
What are your thoughts on having a vaginal birth with this second baby?
What education can you provide to her?
What is the risk to her and does this change your thoughts and advise?