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Prior Cesarean Delivery

Which of the following factors favors a successful trial of labor in a woman with a prior cesarean delivery?

a. White race

b. Single mother

c. Increased maternal age

d. Short interdelivery interval

What is the estimated relative risk of uterine rupture in women undergoing trial of labor after cesarean delivery compared to those choosing elective repeat cesarean delivery?

a. 5

b. 10

c. 15

d. 20

Which maternal complication is not increased in women undergoing trial of labor after cesarean delivery compared to those electing repeat cesarean delivery?

a. Transfusion

b. Hysterectomy

c. Uterine infection

d. Uterine dehiscence

You are taking care of a 25-year-old G2P1 at 36 weeks’ gestation who underwent emergent primary cesarean delivery for suspected fetal distress in her first pregnancy. Her uterine incision closure from the time of surgery is pictured. If she chooses a trial of labor for this pregnancy, what is her absolute risk of uterine rupture?

a. 3/1000

b. 7/1000

c. 13/1000

d. 19/1000

Which of the following neonatal morbidities are increased with trial of labor after cesarean delivery compared to elective repeat cesarean delivery?

a. Respiratory distress syndrome

b. Hypoxic ischemic encephalopathy

c. Transient tachypnea of the newborn

d. All of the above

You are caring for a 26-year old G2P1 who presents at 39 weeks’ gestation in active labor. She has a history of prior cesarean delivery for breech presentation in her last pregnancy. This pregnancy has otherwise been uncomplicated. What is ...

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