VBAC Flashcards
1
Q
Contraindications
A
Vertical uterine scar Multiple CS (>2, vaginal delivery avoided)
2
Q
Positive predictive values
A
Spontaneous labour, engagement of head >2 years since last pregnancy Low age and BMI Caucasian Previous vaginal delivery Previous CS was elective Small foetus
3
Q
Risks of VBAC
A
Increased risk of needing:
- Blood transfusion
- Uterine infection
- rupture of scar (0.3%, increased top 3% if induction of labour)
4
Q
Scar rupture presentation
A
Foetal distress Scar pain Cessation of contractions Vaginal bleeding Maternal collapse
