A patient who is pregnant expresses a desire to attempt a vaginal delivery after a cesarean birth 2 years before. The primary care provider initiates trial of labor after cesarean (TOLAC) and vaginal birth after cesarean (CVAC) screening. The nurse is aware that which patient information will likely disqualify the patient for CVAC?

Question

Quizplus · Accepted Answer

A history of cesarean due to pelvic abnormalities, such as a contracted pelvis or severe cephalopelvic disproportion, is considered a contraindication to attempting a vaginal birth after cesarean (VBAC) due to increased risk of uterine rupture. A low transverse uterine scar is ideal for VBAC, as it is associated with a lower risk of uterine rupture. The need for induction during the previous labor or the patient asking multiple questions are not relevant factors in determining eligibility for VBAC.

A Patient Who Is Pregnant Expresses a Desire to Attempt