Which of the following is NOT a condition for trial of vaginal delivery in VBAC:
Ans. BRef. Dutta's Obstetricsy Th ed.l 330Recommendations of American college of obstetricians & Gynecologists (ACOG) for vaginal birth after cesarean delivery (VBAC):Indications* No more than 1 previous lower segment transverse scar* Availability of anesthesia and personnel for emergency cesarean delivery.* Clinically adequate pelvis* No history of previous uterine rupture or other uterine scars.* Availability of physician throughout active labor.Contraindications* Prior classical or T-shaped uterine incision.* Previous 2 or more LSCS* History of uterine rupture.* Medical or obstetrical complications that preclude vaginal birth. Ex: pre-eclampsia, placenta previa, malpresentation etc.* Limited resources for emergency CS. Ex: lack of surgeon, anesthesia, or nursing staff.
Breech presentation
Previous CS of more than 1
Presence of anesthesiologist
Informed consent