Question

Mrs. Jones is G2T1P0A0L1 who had a previous C-section for fetal distress. She is 16 weeks and has an abdominal scar from a horizontal (lower transverse) incision. She wants to know about this delivery- you inform her?

a) Vaginal birth after cesarean (VBAC) is not an option
b) A repeat C-section is recommended
c) You may attempt a VBAC, but it carries risks
d) The mode of delivery is entirely her choice

Answer 1

Mrs. Jones, who had a previous C-section, may consider VBAC but it carries risks. A thorough evaluation and shared decision-making will determine the safest delivery mode, whether VBAC or repeat C-section.

Step-by-step explanation:

Inquiring about delivery options after a previous C-section, Mrs. Jones who is 16 weeks pregnant and presents with an abdominal scar from a horizontal (lower transverse) incision, should be informed that Vaginal Birth After Cesarean (VBAC) may indeed be an option for her. This alternative to labor and delivery can be considered depending on specific medical circumstances, the type of previous cesarean incision, and the absence of other contraindicating factors. However, it is critical to be aware that VBAC carries certain risks including the possibility of uterine rupture. Careful monitoring and consultation with her obstetric team will help to determine the safest approach for delivery, whether it's a VBAC or a repeat C-section. Ultimately, the mode of delivery involves shared decision-making between the patient and her healthcare providers, factoring in the safety and health of both mother and child.