Which delivery option has the lowest associated risk?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The choice of VBAC, or Vaginal Birth After Cesarean, represents the delivery option with the lowest associated risk among the provided options. This is primarily due to the fact that VBAC typically allows for a more natural delivery process, which can lead to fewer complications than those linked with surgical interventions.

When considering the risks associated with elective repeat cesarean section, there are notable concerns such as increased risk for maternal morbidity, potential complications from anesthesia, and longer recovery times. A failed trial of labor after cesarean (TOLAC) can also present significant risks, including uterine rupture, which can be life-threatening for both mother and baby and often necessitates emergency medical interventions.

Conversely, VBAC carries a relatively favorable safety profile when performed in appropriate settings with careful patient selection. The risk of uterine rupture during a successful VBAC remains relatively low compared to the risks associated with repeat cesarean deliveries and failed TOLACs. This lower risk profile is why VBAC is considered a viable option for many women with previous cesarean sections, provided they are evaluated appropriately and monitored during labor.

In summary, VBAC is recognized as the delivery method with the least associated risk among the options, as it benefits from

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