Paedadvanced
A patient has one previous low-transverse CS, a singleton cephalic fetus, and a normally sited placenta, but the facility cannot provide emergency theatre services. Analyze eligibility using the lecture.
Answer
Several clinical criteria are favorable, but the absence of emergency theatre capacity fails a key resource requirement and is listed as a contraindication. TOLAC should not be considered suitable in that setting according to the lecture.
Explanation
Eligibility is not determined by obstetric factors alone. The lecture requires emergency CS capability and lists limited resources as a contraindication, so the facility limitation is decisive in this case. **Key takeaway:** Clinical candidacy requires service readiness. **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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