Labour: classical caesarean section: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Labour: classical caesarean section

Sample item

A woman had a classical caesarean section at 30 weeks for placenta praevia. What is the recommended mode of delivery in her next pregnancy?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Elective repeat caesarean section at 36 to 37 weeks

A classical (vertical upper segment) scar carries a rupture risk of 4 to 9 per cent in labour and often before term. Elective caesarean at 36 to 37 weeks is advised. Labour is avoided.

Option by option

  • A. Induction with misoprostol

    Misoprostol increases rupture risk.

  • B. Trial of labour at 41 weeks

    Labour at term with a classical scar is unsafe.

  • C. Vaginal delivery with epidural

    Labour with a classical scar is contraindicated.

  • D. Elective repeat caesarean section at 36 to 37 weeks (correct)

    Correct. Planned caesarean before labour reduces rupture risk.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Elective repeat caesarean section at 36 to 37 weeks. A classical (vertical upper segment) scar carries a rupture risk of 4 to 9 per cent in labour and often before term.

Why is "Induction with misoprostol" not the answer?

Misoprostol increases rupture risk.

Why is "Trial of labour at 41 weeks" not the answer?

Labour at term with a classical scar is unsafe.

Why is "Vaginal delivery with epidural" not the answer?

Labour with a classical scar is contraindicated.

What concept does this question test?

It tests Labour: classical caesarean section in OBG. Elective caesarean at 36 to 37 weeks is advised. Labour is avoided.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Labour: classical caesarean section?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.