"the stardard of care is to have a full OR staff OBGYN, anestsia, 2nd assist and tech."
"it all has to do with increased liability and new ACCOG guide lines.which basically state vbacs are not supportted by accog. for VBAC to be considered last c/s had to be for reason other than CPD,had to be low transverse incision, only 1 uterine surgical incision or c/s. previous vaginal birth. estimated fetal weight less than 8 1/2 pounds. adequate pelvis or proven pelvis. doctor also has to be in house so does anesthesia. stat c/s must be able to be performed with in 15-30."
above quotes are from MarkRN & DayRay...and both are correct!
IF your 1st section was for something other than CPD, arrest of labor....and
IF you are delivering at a hospital that can have you on the OR table in <5" and delivered in <10" (personally, I think 15-30 is way, way too long)....
and YOU UNDERSTAND THE CONSEQUENCES of uterine rupture....
THEN go ahead and try to deliver vaginally.
We have a few MDs that will even run pit!
BUT I work where VBAC's are very, very closely watched in labor, with an epidural catheter in place and an OR open and ready "to ward off evil spirits"!
IF your doctor and hospital are not readly and easily capable to do the same, play it safe and schedule your RCS!
IF they ARE willing, good luck!