Question

A 29-year-old woman, G2P1, at 39 weeks with a previous lower segment caesarean section for breech presentation, requests a vaginal birth after caesarean (VBAC). Pregnancy has been uncomplicated. According to NICE intrapartum care guidance, what is the most appropriate advice?

Accepted Answer

Offer planned VBAC with continuous intrapartum monitoring in a unit with immediate access to caesarean section

Answer

VBAC is absolutely contraindicated after one previous caesarean section

Answer

Insist on an elective repeat caesarean section

Answer

Recommend home birth as she is low risk

Answer

Induce labour at 42 weeks with no additional precautions

Practice question

A 29-year-old woman, G2P1, at 39 weeks with a previous lower segment caesarean section for breech presentation, requests a vaginal birth after caesarean (VBAC). Pregnancy has been uncomplicated. According to NICE intrapartum care guidance, what is the most appropriate advice?