J.,
Congratulations on your second pregnancy. I would like to say a few things & respond to a few others. Janie's note seems to focus entirely on the mother. There is a baby to consider. The process of a vaginal birth is much easier for the baby & the mother to go through together. It also helps prepare the baby for its entrance into this world. For example, going through the canal helps expel the fluid from the baby's lungs naturally for example. This is an easier, less traumatic way to expel the fluid than via a tube. So you see, c-sections, as Janie puts it, aren't just for mom's who don't want to do the "work" of labour. I always say, your birth is going to change you and your baby dramatically. So you decide in which way you want it to change you." Most of the time, the more knowledgeable the mom has, the more she can make the decision her own.
Next, I want to respond to the woman who gave birth to 7 children. Her information about episiomities is outdated. Actually, it is better to tear. A tear heals much better. Think about a cut...if it is sliced cleanly it has nothing to grab on to and the healing is slower; but if it tears the cut is jagged & there is more for the two sides to hang on to to heal. This is how it was explained to me by the midwives & it made sense. Now the trick is that at the very end of the labour, when the head starts to come out, you will be told to stop pushing, and actually the person catching the baby, if talented, may even hold the baby's head back to slow it down so as to prevent a tear.
J., I used to live in Northern Arizona where the hospital dictated "once a section, always a section". A couple of people I know who wanted to give their baby a vaginal birth had to take their birth away from the region. If you have the choice nearby, you are lucky. You are courageous to explore this question. If I may bring up the unfortunate politics of birth, VBACs aren't as profitable as C-sections, nor as convenient for the doctors, so many doctors & hospitals are playing on a mother's fear of uterine rupture & employing the "once a section, always a section" attitude. Fear is the great manipulator. This lack of choice on how we want to birth our babies & how our babies want to be born comes at the expense of the mother's confidence about birthing after a C-section, & her mental & physical health, as well as the baby's health. I have digressed, if you have the choice nearby for a VBAC, that is one less battle you have to fight and you are lucky. May your journey feed you and your baby well.
With respect to you for exploring this,
K.