Question

A 32-year-old G2P1 woman with a previous low transverse caesarean for breech presentation is now 37 weeks' gestation with a singleton cephalic fetus. There are no obstetric contraindications. According to SOGC, what is the most appropriate counselling message regarding mode of delivery?

Accepted Answer

TOLAC is a reasonable option with appropriate facilities and informed consent

Answer

Elective repeat caesarean is mandatory

Answer

Trial of labour after caesarean (TOLAC) is contraindicated

Answer

Vaginal birth is unsafe and associated with very high maternal mortality

Answer

Home birth is preferred for TOLAC to avoid intervention

Practice question

A 32-year-old G2P1 woman with a previous low transverse caesarean for breech presentation is now 37 weeks' gestation with a singleton cephalic fetus. There are no obstetric contraindications. According to SOGC, what is the most appropriate counselling message regarding mode of delivery?