Obstetrics & Gynaecology · Labour Abnormalities, Induction and Operative Delivery

Which of the following is an ABSOLUTE contraindication to induction of labour?

  • A Breech presentation at term
  • B Complete placenta previa
  • C Twin pregnancy with both vertices
  • D Polyhydramnios
Correct answer: B. Complete placenta previa

Explanation

Complete placenta previa precludes any form of labour because the placenta overlies the internal os; cervical dilation shears open placental vessels and causes catastrophic haemorrhage, so delivery must be elective cesarean regardless of gestation. Breech, twin pregnancy, and polyhydramnios alter the plan for monitoring or mode of delivery but do not forbid induction outright. Other absolute indications for cesarean include transverse lie and previous classical cesarean.

Reference: DC Dutta's Textbook of Obstetrics, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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