Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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Avoiding an unnecessary cesarean section (and delivering subsequent healthy newborns by trial labor) is desirable. However, there are times when trial labor is contraindicated. Which of the following represents a trial labor contraindication?
  1. Associated midpelvic and outlet contraction in the pregnant woman
  2. Presence of complicating factors (such as pre - eclampsia or malpresentation)
  3. In facilities where the capacity to perform c - sections is not available
  4. All of the above
Explanation
Answer: D - All of the above

Contraindications of trial labor include the following: 1) associated mid pelvic and outlet contraction; 2) presence of complicating factors (such as primigravida, malpresentation, postmaturity, and pre - eclampsia); and 3) where capacity to perform c - section within a facility is not available 24 hours/day.
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