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WorksheetsOBNF Session 2 VBAC/TOLAC
Total questions: 10
Worksheet time: 9mins
Select the correct acronym for the term Trial of labor after a cesarean. The meaning of this term is a planned or attempted vaginal birth after cesarean.
TOLAC
VBAC
CBAC
What are the benefits to VBAC?
Delivery without abdominal surgery
Quicker recovery and healing
Increase risk of infection
Reduced blood loss
Reduced risk of hysterectomy, bowel or bladder injury, placenta disorders and other complications associated with multiple
C-sections.
G3P2 at 38.2 weeks gestation is admitted to labor and delivery from WAC. Select the risk factors which would indicate whether or not a TOLAC is recommended option for this patient.
Type of uterine scar
Previous uterine rupture
Maternal-fetal condition which would complicate vaginal delivery
Previous vaginal delivery with shoulder dystocia
Risk factors for any cesarean delivery.
hemorrhage
obesity
infection
surgical injury
increase risk of DVT or SVT
Select options which decrease the probability of success.
> 40 weeks
Obesity
Nonwhite ethnicity
Preeclampsia
Short interpregnancy interval
Most women who have had one previous cesarean delivery with a low transverse incision should be counseled about VBAC and offered a TOLAC.
True
False
Benefits of VBAC?
No surgery
shorter hospital stay
no complications from surgery
Resume sexual activity faster
VBAC candidates normally have which type of incision?
Vertical
Oblique
low transverse
low vertical
ACOG recently stated that VBAC is safer than a repeat cesarean, and VBAC with more than one previous cesarean does not pose an increased risk? Do you agree?
Have you cared for a woman who experienced a successful VBAC?
yes
no
