Answers With Real Quiz
Increasing rates of cesarean births (esp in older women) equal ANS decreased VBAC,
Incidence of vacuum and forceps
Increased rates of cesarean delivery on maternal request (CDMR) before the start of labor and in
absence of maternal or fetal medical conditions that present a risk for labor Maternal age is rising
(older women with nulliparous), rates of labor induction continue to rise. ANS
Induced labor increases risk for ANS cesarean birth
Indications for Primary Cesarean Birth- Major maternal medical indications are ANS
Dystocia, 37%, Fetal intolerance of labor abnormal presentation, Unsuccessful trial of
forceps/vacuum, 3%
Indications for Cesarean Birth Repeated Cesarean ANS No VBAC attempt, Filed VBAC,
Failed forceps or vacuum
Dystocia, difficult childbirth, dysfunctional labor caused by ANS ineffective uterine
contraction that lead to prolonged first stage or labor, Cephaliopelvic disproportion
Cephaliopelvic disproportion ANS ineffective uterine contractions lead to prolonged first
stage of labor, or when the shape, size, or position of the fetal head prevents it from passing
through the maternal pelvis or when the maternal bony pelvis is not large enough or
appropriately shaped to allow for fetal descent.
Scheduled- cesarean births occur before the onset of labor ANS medically indicated, Elective
repeat cesarean, Elective primary cesarean- CDMR, Malpresentations- breech, diagnoses before
labor