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Cesarean Delivery and Peripartum Hysterectomy

By definition, the term cesarean delivery includes abdominal delivery of a fetus in all EXCEPT which of the following situations?

a. Delivery of a stillborn infant

b. Delivery of a previable infant

c. Delivery of an abdominal pregnancy

d. Delivery in a mother who has just died

The cesarean delivery rate has steadily increased during the past 30 years with the exception of what epoch. During this epoch, the vaginal birth after cesarean (VBAC) rate was increasing commensurate with a decreasing cesarean delivery rate?

a. 1970–1978

b. 1980–1988

c. 1989–1996

d. 2000–2008

Reasons for increasing use of cesarean delivery include all EXCEPT which of the following?

a. Rising average maternal age

b. Greater percentage of births to multiparas

c. Declining use of operative vaginal delivery

d. Increased use of electronic fetal monitoring

Elective cesarean deliveries are increasingly being performed for what indication?

a. Maternal request

b. Medically indicated preterm birth

c. Concerns regarding pelvic floor injury

d. All of the above

Although the indications for cesarean delivery are manifold, 85 percent are performed for four reasons. These principle indications include all EXCEPT which of the following?

a. Labor dystocia

b. Placenta previa

c. Previous cesarean delivery

d. Abnormal fetal presentation

Compared with planned primary vaginal delivery, the maternal risks associated with planned primary cesarean include which of the following?

a. Higher morbidity and mortality rates

b. Equivalent morbidity ...

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