CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

Trial labor is the conduction of spontaneous labor in a moderate degree of cephalopelvic disproportion (CPD) in preparation for a vaginal delivery. Which of the following is a contraindication for trial labor?
  1. Intestinal pain
  2. Sepsis
  3. Cord prolapse
  4. None of the above
Explanation
Answer: C - Umbilical cord prolapse

Trial labor is the conduction of spontaneous labor in a moderate degree of cephalopelvic disproportion (CPD) in the hope and expectation of a vaginal delivery. It is usually associated with subsequent pregnancies following a c - section history. Trial labor may be contraindicated or interrupted if there is cord prolapse, fetal distress, maternal distress, or conversion of vertex presentation into malpresentation.
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