VBAC Flashcards
1
Q
Who should be offered a VBAC?
A
Women with an uncomplicated pregnancy at term
2
Q
What must all women with a previous LSCS have antenatally?
A
A USS to confirm placental site
3
Q
What antenatal care should be given?
A
- Referall to obstetrician
- Info leaflet given
- Decision should be made at 36/40 with clear plan
4
Q
What % of women will have a successful VBAC?
A
72-75%
5
Q
What are the possible reasons for a previous CS?
A
- Foetal distress
- Breech
- Placenta praevia
- Multiple pregnancy
- 2+ previous CS
- Elective
6
Q
What risks are not increased with VBAC?
A
- Thromboembolism
- Hysterectomy
- Maternal death
- Anaesthetic complications
7
Q
What does have a VBAC reduce the risk of?
A
- RDS
- Complications in future pregnancies
8
Q
What intrapartum care should be given?
A
- Cannula and bloods
- Awareness of scar tenderness
- Continuous CTG
- Bladder care
- Timely observations
9
Q
Give 7 indicators of scar rupture
A
- Abnormal CTG
- Severe constant abdominal pain
- Acute scar tenderness
- Abnormal PV bleeding/ haematuria
- Cessation of previously efficient contractions
- Signs of shock
- Loss of station
10
Q
What is the risk of uterine rupture according to RCOG (2015)?
A
1 in 200
11
Q
How does an induction/augmentation affect the possibility of VBAC?
A
- Increased risk of uterine rupture
- Increased risk of CS
- Advised not to exceed 8 hours of augmentation
12
Q
What are the contraindications for a VBAC according to RCOG (2015)?
A
- Previous uterine rupture
- Classical caesarean scar
