Question:medium
Trial of labour in previous caesarean section can be done in?
Trial of labour in previous caesarean section can be done in?
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Which option describes a favourable factor rather than a contraindication?
Updated On: Jun 24, 2026
- Placenta previa type III
- Previous two classical caesarean section
- Suspected CPD
- Previous caesarean section with adequate pelvis
Show Solution
The Correct Option is D
Solution and Explanation
Step 1: Allowing a woman with a uterine scar to labour is only justified when the chance of the scar giving way is small and nothing new blocks a vaginal delivery.
Step 2: The classic green light is a roomy, adequate pelvis after a single lower segment scar performed for a cause that will not recur. That description matches previous caesarean section with adequate pelvis.
Step 3: Each of the other choices is a red flag. A type III placenta previa physically covers most of the cervical opening and demands abdominal delivery.
Step 4: Two prior classical incisions place the thin, poorly healing upper segment under labour stress and invite rupture, while a pelvis suspected of disproportion guarantees obstruction. Hence none of these permit a trial of labour.
\[\boxed{\text{Previous caesarean section with adequate pelvis}}\]
Step 2: The classic green light is a roomy, adequate pelvis after a single lower segment scar performed for a cause that will not recur. That description matches previous caesarean section with adequate pelvis.
Step 3: Each of the other choices is a red flag. A type III placenta previa physically covers most of the cervical opening and demands abdominal delivery.
Step 4: Two prior classical incisions place the thin, poorly healing upper segment under labour stress and invite rupture, while a pelvis suspected of disproportion guarantees obstruction. Hence none of these permit a trial of labour.
\[\boxed{\text{Previous caesarean section with adequate pelvis}}\]
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