Dr. Mark Landon has done multiple studies on vaginal birth after multiple cesareans, showing a risk of 0.9% for rupture in women who have had multiple prior cesarean sections.
You can read the bulletin here , and here is a quote from it:
Landon found that the risk of uterine rupture was 0.9 percent in cases of women with a history of multiple prior cesarean deliveries undergoing a trial of labor, compared with 0.7 percent in the cases of patients who had experienced only one previous cesarean delivery. These data challenge the notion that women with more than one prior cesarean are at dramatically increased risk for uterine rupture with a VBAC attempt.
“We looked at the outcomes associated with uterine rupture, including catastrophic outcomes such as stillbirth, or hypoxic brain injury to the baby,” says Landon. “And the good news is that the vast majority of uterine ruptures fortunately are associated with healthy infants. The absolute risk of catastrophic rupture with poor outcome is, in fact, quite small.”
So ladies - take heart! Not only is a vaginal birth POSSIBLE after multiple cesareans, it is also considered safe. Don't take no for an answer. If you are told no, if you are told that you don't care about your baby's life, if you are told that you will kill your baby ... find another care provider.
And here is a YouTube slide show of VBAMC to enjoy. :)