Paedintermediate
According to standard clinical guidelines, what type of prior uterine incision is an acceptable criterion for a patient to undergo a trial of labor after cesarean (TOLAC)?
Answer
Low-transverse uterine incision
Explanation
The criteria combine prior operative history, current obstetric factors, monitoring capacity, emergency readiness, and patient choice. A candidate must be assessed across all domains rather than selected by scar type alone. **Key takeaway:** Eligibility is a whole-case assessment. **Glossary:** **Longitudinal lie**: fetal axis parallel to the maternal uterine axis.
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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