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Vaginal birth after caesarean — DRCOG MCQ

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HardLabourVaginal birth after caesareanDRCOG

A 32-year-old woman with one previous lower-segment caesarean section is 39 weeks pregnant and wants a vaginal birth. The pregnancy is otherwise uncomplicated and the placenta is not low. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Plan birth in an obstetric unit with continuous intrapartum monitoring

A planned VBAC can be appropriate, but it should occur in an obstetric unit with facilities for urgent caesarean section and continuous monitoring. Home birth does not provide the required emergency access. The teaching point is that VBAC counselling is about informed choice and safe setting, not a blanket prohibition.

Reference: RCOG Green-top Guideline No. 45; NICE NG235