A 31-Year-Old Woman, Gravida 2 Para 1, Is Brought to the Emergency

A 31-year-old woman, gravida 2 para 1, is brought to the emergency department by her husband due to heavy vaginal bleeding.  She is at 30 weeks gestation by a last menstrual period and has not received prenatal care.  The patient has had heavy vaginal bleeding for the past 2 hours, soaking through a pad every 30 minutes.  Her last pregnancy ended in an uncomplicated term vaginal delivery at home.  Vital signs and fetal heart rate tracing are normal.  A transvaginal ultrasound reveals a complete placenta previa.  After conservative management, the vaginal bleeding stops.  The findings and management, including a cesarean delivery, are discussed with the patient and her husband.  The patient says she does not want a cesarean delivery because she would like to deliver at home again.  Which of the following is the most appropriate response?

A) "A vaginal birth would be very dangerous, but if you understand and agree to these risks, I'll allow you to deliver at home."
B) "I will only recommend a cesarean delivery, because vaginal delivery puts your and your baby's lives at risk."
C) "I'll give you some time to discuss this with your husband, so you can make a decision about your preference together."
D) "We can discuss this again in a few days after you have had more time to weigh your options."
E) "You can have a vaginal delivery, but I recommend that you come to the hospital so we can help you if something goes wrong."