VBAC counselling

Question 1

current pregnancy focused hx

Answer 1

LMP
EDD
planned
how & when was pregnancy confirmed
any problems
folate in 1st trimester
up to date scan & abnormalities

Question 2

obx focussed hx

Answer 2

overall pregnancies - outcomes: live births, miscarriages, terminations

children - number, ages, weights, delivery, healthy babies

Question 3

remaining focusses hx

Answer 3

PMH
DH + allergies
FH
SH - smoking, alcohol, drug, occupation

Question 4

VBAC info

Answer 4

in hospital // >=37w

3/4 success (75%)

benefits:
immediate skin-skin contact, breastfeed successfully, faster recovery, shorter future labours w/ fewer complications

risks:
uterine rupture (0.3% or 3% if induced)
1/4 require emergency LSCS

Question 5

ERCS info

Answer 5

benefits:
lower risk of each vaginal damage, perineal tear, heavy bleeding after birth, incontinence, prolapse

risks:
bleeding, infection, structures damage (bladder), laceration to baby, VTE, anaesthetic risks, — future vaginals, +++ placental adhesions, TTN