- 1. What is the correct approach to maternal request for cesarean section?
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a. Know with greater emphasis personal values and preferences of the mother and approach them in a process of shared decision.
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b. Perform cesarean delivery without questions and explanations, since this is the patient’s will.
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c. Disregard the patient’s request, since this is a decision of the doctor exclusively.
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d. Show scientific evidence of the benefits of normal birth without sharing decision with the patient.
- 2. Cesarean section on maternal request or with no indication increases the risk of bleeding complications?
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a. Yes, it increases the absolute risk of bleeding complications with statistical significance.
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b. Yes, it increases the risk of complications, but without statistical significance.
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c. No, there were no differences in the evaluated results.
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d. No, vaginal delivery increases the absolute risk of bleeding complications in a statistically significant manner.
- 3. Cesarean section on maternal request or with no indication increases the risk of infectious complications?
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a. Yes, it increases the absolute risk of infectious complications with statistical significance.
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b. Yes, it increases the risk, but without statistical significance.
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c. No, there were no differences in the evaluated results.
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d. No, vaginal delivery increases the absolute risk of infectious complications in a statistically significant manner.
- 4. Cesarean section on maternal request or with no indication increases the risk of which outcomes?
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a. Hemorrhagic, infectious and breastfeeding complications, and respiratory complications for the newborn.
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b. Hemorrhagic and infectious complications, only.
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c. Maternal mortality, surgical wound complications, neonatal asphyxia, neonatal infection and hospitalization in the neonatal ICU.
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d. Bleeding complications, maternal mortality, breastfeeding complications, and neonatal infection.
- 5.What is the period when the cesarean section should be done in case of vaginal delivery refusal?
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a. After 39 weeks.
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b. After 37 weeks.
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c. After 42 weeks.
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d. Before 38 weeks.
Answers to clinical scenario: birth route in case of cesarean section in a previous pregnancy [Published in RAMB 2015; 61(3)]
- 1. What is the level of evidence of studies on birth route in case of cesarean section in a previous pregnancy?
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Observational longitudinal studies and lack of controlled studies (Alternative A).
- 2.The longitudinal observational studies comparing birth route in patients with cesarean section in a previous pregnancy are characterized by being:
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Heterogeneous in terms of methodology to measure outcomes and presenting distinct follow-up durations (Alternative A).
- 3. What are the characteristics associated with a favorable progress of trial of labor in patients with previous cesarean section?
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Indication of the first cesarean section for non-recurring factor and vaginal delivery history, in the case of multiparous women with one previous cesarean section (Alternative A).
- 4.Trial of labor in patients with previous cesarean section is:
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A reasonable choice for pregnant women with one previous cesarean section performed by means of transverse uterine section (Alternative A).
- 5.Which is the birth route indicated for patients with cesarean section in a previous pregnancy?
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There are still doubts about which type of delivery is better (Alternative A).
Publication Dates
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Publication in this collection
Jul-Aug 2015
