A G2P1 woman wishes to have a trial of labor after a previous low-transverse cesarean delivery. What factors would permit the woman to be allowed this trial of labor? (Select all that apply.)

Question

A.
Adequate pelvis size related to fetal size
B.
Desire to use epidural analgesia
C.
Patient free of any chronic illnesses
D.
No history of uterine abnormalities
E.
Physician available throughout the trial who is capable of performing a cesarean delivery

Answer 1

ANS: A, B, D, E
Criteria for allowing a trial of labor include one previous cesarean birth (if two prior cesarean births, only those who have also had a vaginal birth should be allowed a trial of labor), no history of uterine abnormalities, an available physician who is present during the active phase of the labor trial and who is capable of monitoring and performing an emergency cesarean delivery, and availability of other personnel such as an anesthesiologist. Epidural analgesia may be used as part of a trial of labor after cesarean. Absence of any chronic illnesses is not a criterion.