A woman with a previous cesarean birth is requesting a trial of labor. Which of the following is not a contraindication to trial of labor after cesarean?

A request for a trial of labor after cesarean (TOLAC) can be influenced by several factors, and it's important to note that some prior obstetric histories may positively support a woman's desire for a vaginal birth after cesarean (VBAC). The scenario presents multiple restrictions that can arise with past cesarean deliveries.

Having two previous lower uterine segment transverse cesarean births is not a contraindication for a trial of labor. In fact, this history generally supports a woman's eligibility for a TOLAC. The lower uterine segment incision is associated with a lower risk of uterine rupture compared to other incision types, such as classical incisions, which makes the chance of successfully attempting a vaginal birth higher. Thus, women with two previous lower uterine segment transverse cesarean deliveries are often considered suitable candidates for a trial of labor.

In contrast, a previous classical uterine incision and a history of uterine rupture are significant contraindications for TOLAC due to the increased risk of complications, including uterine rupture during labor. Additionally, the inability to perform an emergency cesarean birth when needed poses a serious risk and therefore is also a contraindication for attempting a trial of labor.

Understanding the implications of various surgical