"Once a cesarean, always a cesarean.” when these words were spoken by Obstetricians & Gynecologists, this statement reflected most of obstetricians’ management of patients with a prior cesarean delivery. But the new guidance suggested that for a majority of women who previously had a C-section, a natural birth  can still safe and very possible.

Babies can enter this world in one of two ways. Pregnant women can have either a vaginal birth or a surgical delivery by Caesarean section. The ultimate goal is to safely deliver a healthy baby.

In some cases, C-sections are planned because of medical reasons that can make a vaginal birth risky.

A woman will be informed in advance that she would need a C-section and be scheduled for it for reasons such as, she is expecting twins or other multiples, or because she might have a medical condition like diabetes or high blood pressure. Other possible reasons are an infection that might have complicated the pregnancy, such as HIV or herpes, or problems involving the placenta during her pregnancy that will not permit a normal delivery.

A C-section may also be necessary in certain situations, such as delivery involving a very large baby for a mother with a small pelvis, or if the baby was not in a heads down position and efforts to turn the baby before a woman gave birth have been unsuccessful.

Although attempts at a trial of labor after a cesarean birth (TOLAC) have become an accepted practice, the rate of successful vaginal birth after cesarean delivery (VBAC), as well as the rate of attempted VBACs, has decreased during the past 10 years.

As long as the woman is an appropriate candidate for a vaginal birth after a cesarean, also known as a VBAC, there's a good chance to succeed. The chance of success are higher if the reason for the previous c-section isn't likely to be an issue this time around.

The Gynaecologists said: ‘It is important for women to know that both Cesarean section and vaginal birth after a previous Cesarean section are safe and that when reaching a decision their individual circumstances, and preferences, should be taken into account.’

https://www.dailymail.co.uk/health/article-3256015/You-natural-birth-Caesarean-section-s-likely-safer-mothers-told.html