Hi Dr. Purushottam welcomes you to HCM virtual clinic. I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options. 1]From your history, first cesarean was done as an acute emergency, called fetal distress. 2] If in this pregnancy baby s head descends down in the birth passage and your scar of previous cesarean has not thinned out; then concerned gynecologist will try for vaginal birth. 3] In case the scar is thinned out , as will be seen in USG or you start feeling pain over the scar- scar tenderness, then doctor will have to take decision of cesarean again. 4] Usually qualified gynecologists with good experience in their field are competent to handle such situations. 5] The ultimate aim is to have safe mother and healthy baby going home from the nursing home. Wish you best of luck. May you be blessed with Bundle of Joy. I hope my answer helps you. Thanks.