Which of the following is NOT a condition for trial of vaginal delivery in VBAC:: (A) Breech presentation, (B) Previous CS of more than 1, (C) Presence of anesthesiologist, (D) Informed consent
Answer is B. 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.