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Birth after caesarean — DRCOG MCQ

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HardIntrapartum CareBirth after caesareanDRCOG

A 34-year-old woman at 39 weeks had one previous uncomplicated lower-segment caesarean section for breech presentation. She asks in antenatal clinic whether a vaginal birth is possible this time. There are no current obstetric complications. What would you advise?

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Correct answer: D — Discuss planned vaginal birth after caesarean and elective repeat caesarean

After one previous uncomplicated lower-segment caesarean, both planned VBAC and elective repeat caesarean are reasonable options requiring balanced counselling. VBAC is not contraindicated solely because of one previous lower-segment scar. Home birth is not usually advised because intrapartum monitoring and rapid access to obstetric care are important. The pearl is that counselling should cover maternal preference, scar rupture risk and local service capability.

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