traffiwarden what made situation2 haemorrhage? Did you find out?
You havent mentioned any births that were purely VBACs without the first being a CS.
And also the ruptured uterus:"A uterine rupture is a tear in the wall of the uterus, most often at the site of a previous c-section incision. In a complete rupture, the tear goes through all layers of the uterine wall and the consequences can be dire for mother and baby. Fortunately, these ruptures are relatively rare events ? exceedingly rare for women who've never had a c-section, a previous rupture, or other uterine surgery. The vast majority of uterine ruptures occur during labor, but they can also happen during pregnancy.
The first sign of a rupture is usually an abnormality in the baby's heart rate. (This is why a woman attempting a vaginal birth after cesarean, or VBAC, needs continuous fetal monitoring.) The mother may have symptoms such as abdominal pain, vaginal bleeding, a rapid pulse, and other signs of shock, and may even experience referred pain in her chest caused by irritation to the diaphragm from internal bleeding.
What causes uterine rupture?
Ninety percent of uterine ruptures happen at the site of a scar from a previous c-section. And ruptures are most likely to occur during labor because a scar is more likely to give way under the stress of contractions.
If you've had one c-section with the typical low-transverse uterine incision and are considered a good candidate for VBAC, most studies estimate the risk of rupture during labor to be less than one percent. On the other hand, if you've had a "classical" c-section, in which the incision extends vertically to the upper, more muscular part of the uterus, you have a much higher risk of rupture and should be scheduled for c-section before the onset of labor. The same is true for women who have had other kinds of uterine surgery, such as an operation to remove fibroids or to correct a misshapen uterus, or repair of a previous rupture.
It's possible for an unscarred uterus to rupture, but that happens in fewer than 1 in 15,000 pregnancies, almost always during labor. Risk factors include having had five or more children, a placenta that's implanted too deeply into the uterine wall, an overdistended uterus (from too much amniotic fluid or carrying twins or more), contractions that are too frequent and forceful (whether spontaneous or from medication such as oxytocin or prostaglandins, or as the result of a placental abruption), and a prolonged labor with a baby that's too big for the mother's pelvis.
Trauma to the uterus, from such things as a car accident or a procedure such as an external cephalic version or a difficult forceps delivery, may also cause a uterine rupture, as can a difficult manual removal of the placenta."
mummc2 you must of had a really good hospital to birth in. I have noticed on here 'it doesnt always go the way you want' when staff interfere.