From Emily Oster’s Expecting Better [Chapter 18]:
VBAC: The other common cause of a scheduled C-section is if you’ve had one before. Women who have given birth once by C-section are very often advised to have future babies the same way. Having a vaginal birth after a C-section is possible (it’s often called a VBAC, for vaginal birth after Cesarean) but not usually the default. Is this right? It’s actually a bit hard to know. There are no randomized studies.6 The best we can do is to compare women who had a C-section and planned a vaginal birth to women who had a C-section and planned a repeat C-section. This isn’t perfect—the kind of women who want a VBAC may be different from those who are happy to have another C-section—but done right it can be pretty convincing. And studies like this suggest that there are some
increased risks to a VBAC. In one case, researchers studying women in Australia found that women who planned a VBAC had more serious infant complications and a greater likelihood of maternal hemorrhage. Both of these outcomes happened for about 2.5 percent of the women in the VBAC group versus only about 0.8 percent of the planned C-section group.7 The women in the two groups looked very similar in many ways—age, race, etc.—so we can have some confidence that the choice of delivery mode was responsible for the differences. And this is pretty consistent with other, similar studies.8 Without randomized evidence it’s hard to be rock solid on this, and, unlike in the breech case, many doctors will be fine with this type of delivery. Because of the possibility of increased risks, though, you do probably want a doctor who has experience with this situation so that she’ll know what to do if things start to go awry. If you do decide to attempt a vaginal birth, be prepared: about half of attempted VBACs end in a C-section.
The references are:
6. J. M. Dodd et al., “Planned Elective Repeat Caesarean Section Versus
Planned Vaginal Birth for Women with a Previous Caesarean Birth,” Cochrane
Database of Systematic Reviews 4, article no. CD 004224 (2004).
7
. Caroline Crowther et al., “Planned Vaginal Birth or Elective Repeat
Caesarean: Patient Preference Restricted Cohort with Nested Randomised Trial,”
PLOS Medicine 9, no. 3 (2012): e1001192.
8
. E. Mozurkewich and E. Hutton, “Elective Repeat Caesarean Delivery Versus
Trial of Labor: A Meta-Analysis of the Literature from 1989 to 1999,”
American Journal of Obstetrics and Gynecology 183 (2000): 1187–97.
I feel like this conflates overstriding with heel-striking[1]. Overstriding—one’s feet land too much in front of one’s center of mass. Even consulting your own image, the runner marked as ‘mid-foot striking’ could be heel-striking without changing anything in the overall posture.[2] Though, I agree that mid-foot striking is still definitely better than heel-striking on net.
Specifically, I think the claims about braking and excessive stress are false for heel-striking when decoupled from overstriding.
I know plenty of runners with good running technique and years of experience who are lifelong heel-strikes. Though, I’m a forefoot to midfoot striker myself.