Which of the following is the contraindication for trial of normal labour after caesarean section?
Prior classical or T-shaped uterine incisions are considered contraindications to labor. The highest risks of uterine rupture are present with prior veical incisions extending into the fundus such as the classical incision. Women with a transverse scar confined to the lower uterine segment have the lowest risk of symptomatic scar separation during a subsequent pregnancy. Some Factors for Consideration in Selection of Candidates for Vaginal Bih after Cesarean Delivery (VBAC): One previous prior low-transverse cesarean delivery Clinically adequate pelvis No other uterine scars or previous rupture Physician immediately available throughout active labor capable of monitoring labor and performing an emergency cesarean delivery Availability of anesthesia and personnel for emergency cesarean delivery Ref: Cunningham F.G., Leveno K.J., Bloom S.L., Hauth J.C., Rouse D.J., Spong C.Y. (2010). Chapter 26. Prior Cesarean Delivery. In F.G. Cunningham, K.J. Leveno, S.L. Bloom, J.C. Hauth, D.J. Rouse, C.Y. Spong (Eds), Williams Obstetrics, 23e.
History of previous classical CS
History of previous CS due to CPD
No history of prior vaginal delivery
History of previous CS due to malpresentation