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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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l.k.2222 l.k.2222
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6 years ago
A patient is consulting a certified nurse-midwife because she is hoping for a vaginal birth after cesarean (VBAC) with this pregnancy. Which statement indicates that the patient requires more information about VBAC?
 
  1. I can try a vaginal birth because my uterine incision is a low segment transverse incision.
  2. The vertical scar on my skin doesn't mean that the scar on my uterus goes in the same direction.
  3. There is about a 90 chance of giving birth vaginally after a cesarean.
  4. Because my hospital has a surgery staff on call 24 hours a day, I can try a VBAC there.
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#1
6 years ago
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Rationale 1: Only low segment transverse uterine incisions are recommended for attempting a VBAC.
Rationale 2: Abdominal skin incisions and uterine incisions are not always the same.
Rationale 3: The highest success rates for VBAC are 60 to 80, and occur among women whose previous cesarean was performed because of nonrecurring indications.
Rationale 4: VBAC should be attempted only in facilities that have 24-hour coverage of operating room staff and anesthesia.
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