According to standard obstetric criteria, which of the following is an absolute contraindication to oxytocin augmentation in labour?

• A Multiparity
• B Previous two lower segment cesarean sections
• C Gestational diabetes on insulin
• D Contraindication to vaginal delivery (e.g., placenta previa, transverse lie) ✓

Explanation

Oxytocin is absolutely contraindicated when vaginal delivery is itself contraindicated, as in placenta previa, transverse lie, or cord presentation. A previous single LCS is a relative indication for cautious oxytocin use; two previous LCS is a relative contraindication in many protocols but not absolute. Multiparity and gestational diabetes are not contraindications to augmentation.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.