0 PROBLEM BASED LEARNING (PBL-1)

TOPIC: VAGINAL DELIVERY AFTER CAESAREAN SECTION

(VBAC)
SCENARIO:
A 28 years old G2P1, currently at 36 weeks gestation has been
regularly attending antenatal clinic as advised.
Her previous delivery was by an elective Caesarean section at term,
due to breech presentation.
She is concerned about mode of delivery in current pregnancy which
remained uneventful throughout.
A. What further details of history and clinical findings are relevant to
be elaborated in her case ?
B. Will any additional investigations be required also?
C. How will you counsel her regarding risks and benefits of VBAC and
Elective Repeat Caesarean section( ERCS)?
D. Discuss the criteria that help in choosing the specific mode of
delivery for her.
E. If she opts for VBAC, what would be the management in labour?
F. Is the previous scar at any risk? How do we detect that ?
G. If she undergoes/needs a repeat Caesarean delivery, what will be
the consequences of this on future pregnancies?
dr.razia.mughal@gmail.com