Indications

The skin incision that you see on the maternal abdomen does not tell you the type of uterine incision that the patient received. For example, a woman may have a classical uterine incision, but a low transverse skin incision.

Repeat cesarean (elective; patient does not desire a trial of labor) Dystocia or failure to progress in labor Breech presentation Transverse lie

Concern for fetal well-being (i.e., fetal distress)

VAGINAL BIRTH AFTER CESAREAN DELIVERY (VBAC)

VBAC is associated with a small but significant risk of uterine rupture with poor outcome for mother and infant:

Maternal and infant complications are also associated with an unsuccessful trial of labor.

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