This document provides guidance on whether a trial of labor is contraindicated based on a woman's uterine surgical history and type of previous incision or procedure. A low transverse cesarean delivery or abdominal myomectomy without uterine cavity entry does not preclude a trial of labor, while a classical cesarean delivery or abdominal myomectomy with uterine cavity entry would make a trial of labor contraindicated.
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Uterine surgical history & vaginal birth HY
1. Uterine surgical history & vaginal birth
Surgery
Trial of labor
contraindicated?
Low transverse cesarean delivery (horizontal incision) No
Classical cesarean delivery (vertical incision) Yes
Abdominal myomectomy with uterine cavity entry Yes
Abdominal myomectomy without uterine cavity entry No