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    Subjects/OBG/Cesarean Section Indications
    Cesarean Section Indications
    medium
    baby OBG

    A 28-year-old G2P1 at 37+2 weeks gestation with a previous history of one lower segment cesarean section (LSCS) for cephalopelvic disproportion presents in active labour. Cervical examination reveals 6 cm dilation, 90% effaced, and the fetal head at −1 station. Fetal heart rate is 136 bpm with good variability and accelerations. The patient desires a trial of vaginal delivery after cesarean (TOLAC). What is the most appropriate next step in management?

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