Dear Bharati,
The commonest normal position of the baby at 35 weeks
pregnancy is head down with back on the left side. Your scan report has mentioned the same. So as far as the foetal position is concerned, you do not have to be worried about. It is absolutely normal position.
The million dollar question is whether you can deliver vaginally or not. Let us consider the different points by their merits. One dictum is certain - Once a
caesarean section need not be always a caesarean delivery; however, once a caesarean section has to be always a hospital delivery.
1. You had previous caesarean section. The indication for the caesarean section will play a great role. The indications for caesarean section can be by and large divided in to two groups : a. Repetitive indications like small
pelvic cavity, abnormal or irregular pelvis, etc. b. Non-repetitive indications like
placenta praevia,
high blood pressure, foetal distress, etc. . If the indication was from the first group, you will have to undergo caesarean section, however, if it was performed for the indication from the second group and if that indication is not present in this pregnancy, a
vaginal delivery may be tried.
2. Your age is 35 years. Usually at this age the risk factors are more and the pelvic bones and joints have become more rigid. Any risk factor with previous caesarean section is considered an additional probable indication for caesarean section. So the chances of caesarean sections increase considering your age.
3. The integrity and strength of previous caesarean scar plays an important role. If during the pregnancy or delivery, the scar on the uterus shows signs of weakness, no one will take any risk of subjecting you to the vaginal delivery lest the risk of rupture of uterus.
Ultrasonography can reflect on the health of the scar during pregnancy while close monitoring is needed during labour. During pregnancy, you also observe for any discomfort or pain the lower abdomen.
I would like to assure you that the aim of any Obstetrician is to deliver a healthy baby to a healthy mother without any complications, no matter by which method.
So Bharati, please have full faith in your Obstetrician and like us, you also aim at delivery of a healthy baby without any risk to the life of either of you.
I hope this convinces you to get rid of the prejudiced opinion about caesarean section.