<s>[INST] Hi, My name is Lana. I am 30 years old. I am currently 36 weeks pregnant with my second child, EDD: 3/23/13. I gave birth to my son in June 2010 via emergency C-section secondary to PROM, polyhydromniosis, and head being very high when doctor broke water. I currently want to attempt a VBAC . I have monthly ultrasounds because I am a high risk pregnancy (have epilepsy and taking lamictal- also did that with first pregnancy). Anyone, my most recent ultrasound said my AFI was a 22. I do not know what my levels where last time but no one mentioned I had polyhydromniosis until after delivery. My question to you is how likely is it that I will have prolapsed cord again? What should I do if water breaks at home? Last time was a very traumatic experience for me. Would you recommend I still attempt a VBAC or elect to do a RCS? Would appreciate your feedback. [/INST] Hello,Welcome Healthcaremagic.It is better to go fro Elective Cesarean section.Because you have high risk pregnancy 1. History of epilepsy2. Previous Low segment cesarean section3. Previous history of cord prolapse 4. History of Polyhydramnios.These all increase your risk of present pregnancy.If membrane ruptures in home, Do not worry. Just go to ER. C- section is advisable, even if membrane ruptures.Hope this helps.Take care. </s>