Paedintermediate

According to standard clinical guidelines, which of the following is considered an absolute contraindication to a trial of labor after cesarean (TOLAC)?

Answer

Prior classical vertical uterine incision

Explanation

The lecture lists prior rupture, two or more prior lower-segment CS, and patient refusal as contraindications. One prior low-transverse CS is included in the eligibility criteria, assuming other conditions are met. **Key takeaway:** Evaluate the complete history and current pregnancy. **Glossary:** **Contraindication**: a reason not to proceed with a proposed plan.

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