Previous caesarean birth planning — DRCOG MCQ

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ModerateLabourPrevious caesarean birth planningDRCOG

A 37-year-old woman has one previous lower-segment caesarean and asks about labour options at 36 weeks. What would you advise?

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Correct answer: A — Advise individualised discussion of VBAC and elective repeat caesarean

Advise individualised discussion of VBAC and elective repeat caesarean is the best answer because the vignette is testing Previous caesarean birth planning and the recommended approach is consistent with RCOG Green-top Guideline 45. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Continue breastfeeding with latch support; Offer intermittent auscultation in the community; Consider safer non-oestrogen contraception; Keep a symptom diary before review would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.

Reference: RCOG Green-top Guideline 45