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Vaginal birth after caesarean — DRCOG MCQ

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ModerateLabourVaginal birth after caesareanDRCOG

A 31-year-old woman is pregnant after one previous uncomplicated lower-segment caesarean for breech presentation. She asks whether vaginal birth is possible this time. There are no other risk factors. What would you advise?

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Correct answer: B — Discuss planned VBAC and elective repeat caesarean as options

After one previous lower-segment caesarean, planned VBAC may be appropriate and should be discussed alongside elective repeat caesarean. Prior caesarean is not an absolute contraindication to vaginal birth. Home birth and induction decisions need specialist counselling because uterine scar risks affect intrapartum planning. Women should receive balanced information, including uterine rupture risk and success factors.

Reference: RCOG Green-top Guideline No. 45