A 38-year-old woman, gravida 4 para 3, attends the GP at 6 weeks of gestation. She had a previous caesarean section for her second delivery. She asks ...

Question

A 38-year-old woman, gravida 4 para 3, attends the GP at 6 weeks of gestation. She had a previous caesarean section for her second delivery. She asks about vaginal birth after caesarean (VBAC). Which is the single most appropriate information to give her?

Accepted Answer

She should be informed that planned VBAC is associated with a 72-75% success rate and a small risk of uterine rupture (approximately 0.5%)

Answer

VBAC is contraindicated after one previous caesarean section

Answer

Elective repeat caesarean is always safer than VBAC

Answer

VBAC can only be attempted in a birth centre

Answer

She must have a previous vaginal delivery to attempt VBAC

uk-drcog MCQ (SBA): VBAC Counselling

A 38-year-old woman, gravida 4 para 3, attends the GP at 6 weeks of gestation. She had a previous caesarean section for her second delivery. She asks about vaginal birth after caesarean (VBAC). Which is the single most appropriate information to give her?