Approximately 60% to 80% of women with one low transverse uterine incision from a previous cesarean birth may have a successful vaginal delivery. Recommendations from ACOG related to VBAC risks include (select all that apply)
a. Immediate availability of the obstetric provider
b. Delivery at a tertiary care center
c. Availability of anesthesia personnel
d. Personnel who can assist with the cesarean birth
e. Use of misoprostol for cervical ripening
A, C, D
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Correct A VBAC delivery should only be attempted with the obstetric provider in
house, and anesthesia along with operative personnel readily available to
perform a cesarean birth.
Incorrect VBAC deliveries may be done in community hospitals if appropriate
policies and guidelines for care are in place. Misoprostol administration is
contraindicated in a patient with a previous uterine scar.
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