A woman is G2P1 TPAL1001and pregnant with her second child. Her first child was born via emergent cesarean delivery. She asks the nurse if a vaginal birth is possible. What response by the nurse is most appropriate?
A.
"No, after cesarean birth you cannot delivery vaginally."
B.
"Not if your cesarean delivery was the classic-style operation."
C.
"Yes, you can always at least have a trial of labor."
D.
"Yes, vaginal birth is usually successful after cesarean deliveries."
ANS: B
There are two types of cesarean delivery: classic (vertical incision) and the lower segment transverse incision. Classic-style incisions are reserved for some cases of shoulder dystocia, placental previa, and when birth must take place emergently. The nurse needs to determine if the woman had a classic cesarean delivery when her first child was delivered emergently. If so, the woman cannot attempt a vaginal delivery. Women with a low transverse incision can safely attempt a trial of labor.
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