The Correct Answer is CFor several years, the American College of Obstetricians and Gynecologists has encouraged a trial of labor in women with a single previous cesarean delivery. In a recent series of several hundred patients with more than one previous cesarean delivery there was no significant difference in the outcomes of a trial of labor in patients with multiple cesarean deliveries compared to a single cesarean delivery. Approximately 65% of women with multiple previous cesarean deliveries delivered vaginally, and catastrophic outcomes were rare, rising only slightly above the level seen in women with only one previous cesarean delivery.
Ref: Asakura H, Myers SA: More than one previous cesarean delivers: A 5-year experience with 435 patients. Obstet Gynecol 1995;85(6):924-929. 2) Holzman GB (ed): Precis, Obstetrics: An Update in Obstetrics and Gyneclolgy. American College of Obstetricians and Gynecologists, 1998, p 93.
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Obstetrics MCQs
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