A woman who had a lower uterine transverse incision for a cesarean birth resulting from cephalopelvic disproportion asks whether this means she cannot have a vaginal birth in the future. Which answer is most appropriate?

Question

a. "A vaginal birth after cesarean birth is never recommended because of the risk for uterine rupture."
b. "It is possible to have a vaginal birth with the type of incision you have. You will want to discuss this with your health care provider."
c. "Your incision does not permit you to have a vaginal birth in the future."
d. "Perhaps you should reconsider any future pregnancies because you are now at high risk for complications."

Answer 1

ANS: B
Women with lower uterine segment incisions may be able to have vaginal births in the future unless cephalopelvic disproportion is present. The woman should discuss this possibility with her health care provider.