Paedadvanced
Contrast the historical “once a caesarean, always a caesarean” dictum with the lecture's approach to VBAC.
Answer
The dictum represents a historical policy against labour after CS. The lecture instead describes TOLAC as an attractive option for many patients, requiring eligibility assessment, careful individual counselling, and appropriate resources; eligible women may be offered TOLAC.
Explanation
The lecture presents historical context but does not endorse a blanket rule for all patients. Its conclusion supports TOLAC where feasible for women meeting criteria, while emphasizing that it is high-risk labour requiring vigilance. **Key takeaway:** Modern decision-making in the lecture is selective and individualized. **Glossary:** **TOLAC**: trial of labour after caesarean.
Related Questions
- Explain the lecture's definition of CS and distinguish it from hysterotomy.(basic)
- The surgical removal of a fetus via an incision through the abdominal and uterine walls prior to the period of fetal viability (traditionally before 28 weeks of gestation) is defined as a ______.(basic)
- Place the following steps in the correct chronological order when responding to suspected uterine rupture during a trial of labor after cesarean (TOLAC):(advanced)
- In obstetrics, surgical delivery of a fetus through an abdominal and uterine incision prior to the age of fetal viability is termed a hysterotomy rather than a cesarean section.(basic)
- Arrange the procedural steps of a standard cesarean delivery in the correct chronological order from first to last.(intermediate)
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