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MRCOG PART 2 SBAs and EMQs

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MRCOG II 2018 Theme

MRCOG II 2018 Theme Posted by Farrukh G.

A 32 year old woman attends the antenatal clinic at 39 weeks gestation in her second pregnancy. She has one previous caesarean section because of non-progressive labour at 7 cm dilatation. Her booking BMI is 34 kg/m2. She wishes to consider induction of labour. What you quote as the success rate?

A.     10%

B.     15%

C.     25%

D.    32%

E.     40%

F.     57%

G.     64%

H.    75%

I.      80%

J.      85%

K.    Over 90%

Posted by Farrukh G.

Induced labour, no previous vaginal delivery, BMI greater than 30 and previous caesarean for labour dystocia are associated with an increased risk of unsuccessful VBAC. If all of these factors are present, successful VBAC rate is 40%.