For decades, the firm belief that, “Once a Caesarean, always a Caesarean,” has held despite evidence to the contrary.

Now the American College of Obstetricians and Gynecologists has issued new clinical guidelines for the management of women who have had a Caesarean and want to deliver the next baby through the standard method.

Whenever possible, a vaginal birth is easier on the mother and the baby, the doctors group says.

The New York Times

“Most women who have had Caesarean sections can safely give birth the normal way later, studies have shown, but in recent years more and more doctors and insurers have been refusing to let them even try,insisting on repeat Caesareans instead.

“The decisions have been based largely on fears of medical risks and lawsuits, medical and legal experts say.

“The hospital rules have infuriated many women, added to the  and set off a bitter debate over who controls childbirth. Now, an obstetricians’ group is issuing a new set of medical guidelines meant to make it easier for women who have had Caesareans to find doctors and hospitals that will allow vaginal birth after Caesarean, or VBAC (pronounced vee-back).” (Emphasis added)

Source: New York Times, July 21, 2010